Provider Demographics
NPI:1902123011
Name:RITTER, MARJORIE (RPH)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:RITTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:
Other - Last Name:JACK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:116 NECTAR CT
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-4124
Mailing Address - Country:US
Mailing Address - Phone:843-903-2774
Mailing Address - Fax:
Practice Address - Street 1:116 NECTAR CT
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-4124
Practice Address - Country:US
Practice Address - Phone:843-903-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12055183500000X
OH03114801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist