Provider Demographics
NPI:1235120627
Name:RITZMAN, GERALD E (RPH)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:E
Last Name:RITZMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 STEWART DR
Mailing Address - Street 2:
Mailing Address - City:RITTMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44270-9608
Mailing Address - Country:US
Mailing Address - Phone:330-334-4803
Mailing Address - Fax:330-335-3222
Practice Address - Street 1:234 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RITTMAN
Practice Address - State:OH
Practice Address - Zip Code:44270-1141
Practice Address - Country:US
Practice Address - Phone:330-927-3175
Practice Address - Fax:330-927-4156
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-109581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist