Provider Demographics
NPI:1215340278
Name:RATLIFF, RITA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 E THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5711
Mailing Address - Country:US
Mailing Address - Phone:602-923-0891
Mailing Address - Fax:602-923-0415
Practice Address - Street 1:3975 E THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-5711
Practice Address - Country:US
Practice Address - Phone:602-923-0891
Practice Address - Fax:602-923-0415
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist