Provider Demographics
NPI:1962787523
Name:RINICKER, GRETCHEN (PHARMD)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:RINICKER
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 1:4496 VALLEYDALE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4666
Mailing Address - Country:US
Mailing Address - Phone:205-981-2362
Mailing Address - Fax:205-981-2551
Practice Address - Street 1:4496 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4666
Practice Address - Country:US
Practice Address - Phone:205-981-2362
Practice Address - Fax:205-981-2551
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist