Provider Demographics
NPI:1174818074
Name:RYDER, DEBBIE MARIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:MARIE
Last Name:RYDER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 SKIBO RD
Mailing Address - Street 2:T-0755
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2245
Mailing Address - Country:US
Mailing Address - Phone:910-860-4606
Mailing Address - Fax:910-860-4610
Practice Address - Street 1:2056 SKIBO RD
Practice Address - Street 2:T-0755
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2245
Practice Address - Country:US
Practice Address - Phone:910-860-4606
Practice Address - Fax:910-860-4610
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18138183500000X
VA0202205745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist