Provider Demographics
NPI:1114225729
Name:OSTERBIND, RISE SHAFFER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RISE
Middle Name:SHAFFER
Last Name:OSTERBIND
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 1:607 ENGLAND ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-2201
Mailing Address - Country:US
Mailing Address - Phone:804-752-6451
Mailing Address - Fax:804-752-5873
Practice Address - Street 1:607 ENGLAND ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2201
Practice Address - Country:US
Practice Address - Phone:804-752-6451
Practice Address - Fax:804-752-5873
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist