Provider Demographics
NPI:1629402185
Name:RITCHIE, EMILY VAUGHAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:VAUGHAN
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-2303
Mailing Address - Country:US
Mailing Address - Phone:540-980-0146
Mailing Address - Fax:540-980-1834
Practice Address - Street 1:901 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-2303
Practice Address - Country:US
Practice Address - Phone:540-980-0146
Practice Address - Fax:540-980-1834
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212253183500000X
NC23702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist