Provider Demographics
NPI:1023377041
Name:RIVETTE, SHARON BARRINGER (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:BARRINGER
Last Name:RIVETTE
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 1:1209 CHESSER DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-3611
Mailing Address - Country:US
Mailing Address - Phone:256-881-6007
Mailing Address - Fax:
Practice Address - Street 1:1209 CHESSER DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-3611
Practice Address - Country:US
Practice Address - Phone:256-881-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist