Provider Demographics
NPI:1871749945
Name:RIPLEY, NATASHA (PHARMD)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:RIPLEY
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 1:3625 N ANKENY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4611
Mailing Address - Country:US
Mailing Address - Phone:515-965-4680
Mailing Address - Fax:515-446-2691
Practice Address - Street 1:3625 N ANKENY BLVD STE A
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023
Practice Address - Country:US
Practice Address - Phone:515-965-4680
Practice Address - Fax:515-446-2691
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist