Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallery Ruddy

Individual provider Pharmacist · NPI 1336499664

Mallery Ruddy is a Pharmacist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
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Practice location Address checks out

1924-40 Fairmount Ave
Philadelphia, PA 19130
Phone: (215) 765-5078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP447086 (PA)

Record details

NPI number1336499664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESSeptember 13, 2012

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