Provider Demographics
NPI:1730216870
Name:RUHLMAN, MARTIN E (RPH)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:E
Last Name:RUHLMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CONEWANGO AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1513
Mailing Address - Country:US
Mailing Address - Phone:814-726-4531
Mailing Address - Fax:814-726-4499
Practice Address - Street 1:601 CONEWANGO AVE
Practice Address - Street 2:WARREN STATE HOSPITAL 33 MAIN DR.
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1513
Practice Address - Country:US
Practice Address - Phone:814-726-4531
Practice Address - Fax:718-726-4499
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029650L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP029650LOtherPHARMACY LIC.