Provider Demographics
NPI:1225026065
Name:RITTER, DARRYL (RPH)
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:
Last Name:RITTER
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 1:166 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2753
Mailing Address - Country:US
Mailing Address - Phone:724-941-1667
Mailing Address - Fax:
Practice Address - Street 1:155 SUGAR RUN RD
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-3641
Practice Address - Country:US
Practice Address - Phone:724-627-3300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP33116-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist