Provider Demographics
NPI:1831525831
Name:RETTGER, GREGORY J (RPH)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:J
Last Name:RETTGER
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 1:8343 STOTTLEMYER RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-9214
Mailing Address - Country:US
Mailing Address - Phone:717-762-1542
Mailing Address - Fax:
Practice Address - Street 1:305 W BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1413
Practice Address - Country:US
Practice Address - Phone:717-593-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033715L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist