Healthcare Provider Details

I. General information

NPI: 1235120627
Provider Name (Legal Business Name): GERALD E RITZMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 N MAIN ST
RITTMAN OH
44270-1141
US

IV. Provider business mailing address

2670 STEWART DR
RITTMAN OH
44270-9608
US

V. Phone/Fax

Practice location:
  • Phone: 330-927-3175
  • Fax: 330-927-4156
Mailing address:
  • Phone: 330-334-4803
  • Fax: 330-335-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-109581
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: