Provider Demographics
NPI:1851681654
Name:RITTMANN, BARRY J (RPH)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:RITTMANN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 BONNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3375
Mailing Address - Country:US
Mailing Address - Phone:804-714-2425
Mailing Address - Fax:804-733-3984
Practice Address - Street 1:2141 S CRATER RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2701
Practice Address - Country:US
Practice Address - Phone:804-733-3471
Practice Address - Fax:804-733-3984
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist