Provider Demographics
NPI:1427114644
Name:RITTER, ROBIN RENEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:RENEE
Last Name:RITTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15086 FIELDING ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAVETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72736
Mailing Address - Country:US
Mailing Address - Phone:479-841-0053
Mailing Address - Fax:479-876-5881
Practice Address - Street 1:408 TOWN CTR NE
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-1817
Practice Address - Country:US
Practice Address - Phone:479-855-3791
Practice Address - Fax:479-876-5881
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist