Provider Demographics
NPI:1407499296
Name:RATCLIFF, BELINDA MAY (RPH)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:MAY
Last Name:RATCLIFF
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 1:201 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TYLERTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:39667-2019
Mailing Address - Country:US
Mailing Address - Phone:601-222-1770
Mailing Address - Fax:601-222-1772
Practice Address - Street 1:201 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TYLERTOWN
Practice Address - State:MS
Practice Address - Zip Code:39667-2019
Practice Address - Country:US
Practice Address - Phone:601-222-1770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE7915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist