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NPI Code Detail

MEDICARE: JUDITH RITCHHART RPH

MEDICARE: JUDITH RITCHHART RPH
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
1183500000XPharmacist18862IA

General Provider Information

NPI Number : 1669767950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH RITCHHART RPH
Provider Business Mailing Address
First Line : 5901 DOUGLAS AVE
Second Line : T-2041
City : DES MOINES
State : IA
Zip : 50322-3303
Country : US
Telephone Number : 515-331-0599
Fax Number : 515-331-0599
Provider Business Practice Location Address
First Line : 5901 DOUGLAS AVE
Second Line : T-2041
City : DES MOINES
State : IA
Zip : 50322-3303
Country : US
Telephone Number : 515-331-0599
Fax Number : 515-331-0599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 06/14/2011

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