Provider Demographics
NPI:1689340598
Name:RUCH, CATHY (RPH)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:RUCH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2766 W BEERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-9157
Mailing Address - Country:US
Mailing Address - Phone:484-554-9156
Mailing Address - Fax:
Practice Address - Street 1:3791 NAZARETH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8324
Practice Address - Country:US
Practice Address - Phone:610-515-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062822183500000X
PARP040184L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist