Provider Demographics
NPI:1093291114
Name:ATALLAH-RINGLING, DINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:
Last Name:ATALLAH-RINGLING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:RINGLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:15171 CHAMISAL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7723
Mailing Address - Country:US
Mailing Address - Phone:314-223-9954
Mailing Address - Fax:
Practice Address - Street 1:141 HILLTOWN VILLAGE CTR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-1731
Practice Address - Country:US
Practice Address - Phone:636-532-2511
Practice Address - Fax:636-532-2512
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist