Provider Demographics
NPI:1952329724
Name:RUHLMAN, ROBERT GLENN II
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GLENN
Last Name:RUHLMAN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-3526
Mailing Address - Country:US
Mailing Address - Phone:814-723-3204
Mailing Address - Fax:
Practice Address - Street 1:348 PENNSYLVANIA AVE W
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2424
Practice Address - Country:US
Practice Address - Phone:814-723-2840
Practice Address - Fax:814-723-3830
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-036857-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist