Provider Demographics
NPI:1275719015
Name:RULYAK, JAMES STEVE (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:STEVE
Last Name:RULYAK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7500
Mailing Address - Country:US
Mailing Address - Phone:824-864-3736
Mailing Address - Fax:412-673-7147
Practice Address - Street 1:2301 VERSAILLES AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2036
Practice Address - Country:US
Practice Address - Phone:412-673-7148
Practice Address - Fax:412-673-2037
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413474L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist