Provider Demographics
NPI:1407137813
Name:CONROY, RUTH MARY (PHARMD)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:MARY
Last Name:CONROY
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 1:4234 HACIENDA DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2745
Mailing Address - Country:US
Mailing Address - Phone:925-924-0062
Mailing Address - Fax:925-924-0273
Practice Address - Street 1:4234 HACIENDA DR
Practice Address - Street 2:SUITE 150
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2745
Practice Address - Country:US
Practice Address - Phone:925-924-0062
Practice Address - Fax:925-924-0273
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist