Provider Demographics
NPI:1578702148
Name:PAUL J RUWE INC
Entity Type:Organization
Organization Name:PAUL J RUWE INC
Other - Org Name:RUWE FAMILY PHARMACY FLORENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER,AO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-261-0605
Mailing Address - Street 1:7220 BURLINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1586
Mailing Address - Country:US
Mailing Address - Phone:859-746-2800
Mailing Address - Fax:859-746-2802
Practice Address - Street 1:7220 BURLINGTON PIKE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1586
Practice Address - Country:US
Practice Address - Phone:859-746-2800
Practice Address - Fax:859-746-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP073103336C0003X, 3336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100139760Medicaid
KY7100068600Medicaid
2118943OtherPK
1017370004Medicare NSC