Most Relevant Information
Provider Data
| NPI Number: | 1003417114 |
| Provider Name: | RUTH MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 59089 |
Most Important Dates
| Enumeration Date: | 11/04/2020 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
690 OLD SAN ANTONIO RD
BUDA
TX
786102108
Practice Location Phone/Fax
| Phone: | 5123122256 |
| Fax: |
Provider Mailing Location
300 WEST AVE APT 2314
AUSTIN
TX
787013806
Provider Mailing Phone/Fax
| Phone: | 8305132054 |
| Fax: |