Provider Demographics
NPI:1679159362
Name:RITENOUR, ALEXANDRA RUTH (PHARMD, CSP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RUTH
Last Name:RITENOUR
Suffix:
Gender:
Credentials:PHARMD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 NORTH O'CONNOR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-0001
Mailing Address - Country:US
Mailing Address - Phone:469-282-1774
Mailing Address - Fax:469-282-6422
Practice Address - Street 1:2401 S 31ST ST # MSAG303H
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0001
Practice Address - Country:US
Practice Address - Phone:254-724-2524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX687761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist