Provider Demographics
NPI:1114042850
Name:LITTEER, KIMBERLEE RUTH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEE
Middle Name:RUTH
Last Name:LITTEER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:KIMBERLEE
Other - Middle Name:RUTH
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1215 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3135
Mailing Address - Country:US
Mailing Address - Phone:585-427-7614
Mailing Address - Fax:855-331-9074
Practice Address - Street 1:1100 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3135
Practice Address - Country:US
Practice Address - Phone:585-427-7614
Practice Address - Fax:585-424-2343
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist