Provider Demographics
NPI:1417257239
Name:RITTER, JILL RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:RENEE
Last Name:RITTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1122
Mailing Address - Country:US
Mailing Address - Phone:303-318-3499
Mailing Address - Fax:303-318-3496
Practice Address - Street 1:1825 MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1122
Practice Address - Country:US
Practice Address - Phone:303-318-3499
Practice Address - Fax:303-318-3496
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist