Provider Demographics
NPI:1770990277
Name:RUBY, TYLER SETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:SETH
Last Name:RUBY
Suffix:
Gender:M
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:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:ORBISONIA
Mailing Address - State:PA
Mailing Address - Zip Code:17243-0367
Mailing Address - Country:US
Mailing Address - Phone:814-447-3934
Mailing Address - Fax:814-447-3757
Practice Address - Street 1:626 WATER ST STE 3
Practice Address - Street 2:
Practice Address - City:ORBISONIA
Practice Address - State:PA
Practice Address - Zip Code:17243
Practice Address - Country:US
Practice Address - Phone:814-447-3934
Practice Address - Fax:814-447-3757
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist