Provider Demographics
NPI:1316372287
Name:RINK, PENELOPE MORROW (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PENELOPE
Middle Name:MORROW
Last Name:RINK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:PENNY
Other - Middle Name:M
Other - Last Name:RINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2696 EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE SPIVEY
Mailing Address - State:GA
Mailing Address - Zip Code:30236-5232
Mailing Address - Country:US
Mailing Address - Phone:404-630-6536
Mailing Address - Fax:770-603-7824
Practice Address - Street 1:1090 EAGLES LANDING PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5012
Practice Address - Country:US
Practice Address - Phone:404-630-6536
Practice Address - Fax:770-603-7824
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist