Provider Demographics
NPI:1003098393
Name:RITTER, MARCIA LOUISE (RPH)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:LOUISE
Last Name:RITTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 WEST PULTENEY STREET
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830
Mailing Address - Country:US
Mailing Address - Phone:607-937-5374
Mailing Address - Fax:607-936-8817
Practice Address - Street 1:375 WEST PULTENEY STREET
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830
Practice Address - Country:US
Practice Address - Phone:607-937-5374
Practice Address - Fax:607-936-8817
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist