Provider Demographics
NPI:1932428679
Name:RITTENHOUSE, JULIE LEA (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LEA
Last Name:RITTENHOUSE
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 1:94 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIAWASSEE
Mailing Address - State:GA
Mailing Address - Zip Code:30546-2254
Mailing Address - Country:US
Mailing Address - Phone:706-896-4489
Mailing Address - Fax:706-896-4491
Practice Address - Street 1:94 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3412
Practice Address - Country:US
Practice Address - Phone:706-896-4489
Practice Address - Fax:706-896-4491
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA837095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist