Provider Demographics
NPI:1770198798
Name:RIDINGS, DONNIE ERIC (RPH)
Entity Type:Individual
Prefix:
First Name:DONNIE
Middle Name:ERIC
Last Name:RIDINGS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:D
Other - Middle Name:ERIC
Other - Last Name:RIDINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:471 WATERFORD POINT DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-7721
Mailing Address - Country:US
Mailing Address - Phone:901-355-2806
Mailing Address - Fax:
Practice Address - Street 1:471 WATERFORD POINT DR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-7721
Practice Address - Country:US
Practice Address - Phone:901-355-2806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7612OtherSC BOARD OF PHARMACY