Healthcare Provider Details

I. General information

NPI: 1225026065
Provider Name (Legal Business Name): DARRYL RITTER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SUGAR RUN RD
WAYNESBURG PA
15370-3641
US

IV. Provider business mailing address

166 CANTERBURY LN
MC MURRAY PA
15317-2753
US

V. Phone/Fax

Practice location:
  • Phone: 724-627-3300
  • Fax:
Mailing address:
  • Phone: 724-941-1667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP33116-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: