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NPI Code Detail

MEDICARE: TIMOTHY CARL RITTER M.S., R.PH.

MEDICARE: TIMOTHY CARL RITTER M.S., R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist53252TX

General Provider Information

NPI Number : 1861445637
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY CARL RITTER M.S., R.PH.
Provider Business Mailing Address
First Line : 15633 SHADY BROOK LN
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-1107
Country : US
Telephone Number : 618-697-0320
Fax Number :
Provider Business Practice Location Address
First Line : 2601 VETERANS DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8942
Country : US
Telephone Number : 618-697-0320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/28/2020

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