Provider Demographics
NPI:1588265755
Name:RUHLMAN-BIDWELL, BRANDI (PHARMD)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:RUHLMAN-BIDWELL
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 1:135 STONERIDGE DR S
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968
Mailing Address - Country:US
Mailing Address - Phone:434-990-6003
Mailing Address - Fax:
Practice Address - Street 1:135 STONERIDGE DR S
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968
Practice Address - Country:US
Practice Address - Phone:434-990-6003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist