Provider Demographics
NPI:1427362979
Name:RITTER, STEPHEN GREGORY SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GREGORY
Last Name:RITTER
Suffix:SR
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 1:8225 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4617
Mailing Address - Country:US
Mailing Address - Phone:504-734-2424
Mailing Address - Fax:
Practice Address - Street 1:8225 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-4617
Practice Address - Country:US
Practice Address - Phone:504-734-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11182OtherPHARMACY