Jeanine Ruby | San Tan Valley, AZ • PECOS Search

Jeanine Ruby

Pharmacist

Pharmacy Service Providers

716 W Yellow Wood Ave, San Tan Valley, AZ 85140-6654

PECOS Enrollment

Based on the most recent information from CMS, provider Jeanine Ruby does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1477975308
Provider Type
Individual
Full Name
Ruby, Jeanine
Credential
RPH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/12/2014
Last Updated
1/12/2014

Contact Information

Practice Location

716 W Yellow Wood Ave, San Tan Valley, AZ 85140-6654

Unlisted Fax

Mailing Location

716 W Yellow Wood Ave, San Tan Valley, AZ 85140-6654

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License S011190 Arizona