Provider Demographics
NPI:1912207010
Name:RULFFES, NICHOLAS C (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:C
Last Name:RULFFES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1124
Mailing Address - Country:US
Mailing Address - Phone:315-262-0529
Mailing Address - Fax:315-265-2990
Practice Address - Street 1:48 MAPLE ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1124
Practice Address - Country:US
Practice Address - Phone:315-262-0529
Practice Address - Fax:315-265-2990
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY54605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist