Provider Demographics
NPI:1841259090
Name:RIPPLE, III, PERRY WARREN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PERRY
Middle Name:WARREN
Last Name:RIPPLE, III
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 CARROLL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2909
Mailing Address - Country:US
Mailing Address - Phone:423-610-7174
Mailing Address - Fax:
Practice Address - Street 1:951 HIGHWAY 126
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-3353
Practice Address - Country:US
Practice Address - Phone:423-844-6840
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000008772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist