Healthcare Provider Details

I. General information

NPI: 1083246003
Provider Name (Legal Business Name): CAROL RITZINGER PHARMACYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 B GALE WILSON BLVD
FAIRFIELD CA
94533-3552
US

IV. Provider business mailing address

2906 QUAIL HOLLOW DR
FAIRFIELD CA
94534-8301
US

V. Phone/Fax

Practice location:
  • Phone: 707-646-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: