Provider Demographics
NPI:1578903464
Name:RITCHIE, JENNIFER RENE' (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RENE'
Last Name:RITCHIE
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 1:701 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-4415
Mailing Address - Country:US
Mailing Address - Phone:870-881-8440
Mailing Address - Fax:870-881-8448
Practice Address - Street 1:701 W GROVE ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4415
Practice Address - Country:US
Practice Address - Phone:870-881-8440
Practice Address - Fax:870-881-8448
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist