Provider Demographics
NPI:1255307609
Name:RATLIFF, KRISTOPHER STEWART (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:STEWART
Last Name:RATLIFF
Suffix:
Gender:M
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 1:344 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-2416
Mailing Address - Country:US
Mailing Address - Phone:276-782-9891
Mailing Address - Fax:276-783-7676
Practice Address - Street 1:1581 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4317
Practice Address - Country:US
Practice Address - Phone:276-783-7284
Practice Address - Fax:276-783-3839
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-26
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist