Provider Demographics
NPI:1689050247
Name:RIPPETOE, STEPHEN J (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:RIPPETOE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3621
Mailing Address - Country:US
Mailing Address - Phone:423-581-8436
Mailing Address - Fax:423-587-0326
Practice Address - Street 1:3336 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3621
Practice Address - Country:US
Practice Address - Phone:423-581-8436
Practice Address - Fax:423-587-0326
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist