Provider Demographics
NPI:1639496276
Name:BANKER, RUCHI B (PHARMD)
Entity Type:Individual
Prefix:
First Name:RUCHI
Middle Name:B
Last Name:BANKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 COOPER LANDING RD
Mailing Address - Street 2:APT # 204 (EAST)
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1738
Mailing Address - Country:US
Mailing Address - Phone:856-979-7094
Mailing Address - Fax:
Practice Address - Street 1:1509 ROUTE 38
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2271
Practice Address - Country:US
Practice Address - Phone:856-663-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03254500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist