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NPI Code Detail

MEDICARE: SUSAN RITTER D.PH.

MEDICARE: SUSAN RITTER D.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
1183500000XPharmacist12766OK

General Provider Information

NPI Number : 1285270355
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RITTER D.PH.
Provider Business Mailing Address
First Line : PO BOX 870
Second Line :
City : ATOKA
State : OK
Zip : 74525-0870
Country : US
Telephone Number : 580-889-1283
Fax Number :
Provider Business Practice Location Address
First Line : 744 S MISSISSIPPI AVE
Second Line :
City : ATOKA
State : OK
Zip : 74525-3355
Country : US
Telephone Number : 580-889-1283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2019
Last Update Date : 05/19/2023

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Directions to “ SUSAN RITTER D.PH.” Practice Location

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