Provider Demographics
NPI:1245836675
Name:MUSSELMAN, RUTH MARIE (RPH)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:MUSSELMAN
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 1:31 SUGAR HILL DR
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1428
Mailing Address - Country:US
Mailing Address - Phone:215-264-2536
Mailing Address - Fax:
Practice Address - Street 1:4290 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2402
Practice Address - Country:US
Practice Address - Phone:610-222-2563
Practice Address - Fax:610-222-2568
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034753L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist