Provider Demographics
NPI:1780259739
Name:JARRETT, RUBY LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RUBY
Middle Name:LOUISE
Last Name:JARRETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GALLERY BLVD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-6606
Mailing Address - Country:US
Mailing Address - Phone:207-885-5191
Mailing Address - Fax:
Practice Address - Street 1:500 GALLERY BLVD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-6606
Practice Address - Country:US
Practice Address - Phone:207-885-5191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR46142183500000X
ME4238183500000X
MEADV46143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist