Provider Demographics
NPI:1689005159
Name:RITTENHOUSE, JOEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:RITTENHOUSE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 W NINE MILE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-9472
Mailing Address - Country:US
Mailing Address - Phone:850-473-5025
Mailing Address - Fax:850-473-5031
Practice Address - Street 1:2180 W NINE MILE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-9472
Practice Address - Country:US
Practice Address - Phone:850-473-5025
Practice Address - Fax:850-473-5031
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist