Provider Demographics
NPI:1538442223
Name:RIDLEY, SALDANHA ADELAIDE (PHARM D)
Entity type:Individual
Prefix:
First Name:SALDANHA
Middle Name:ADELAIDE
Last Name:RIDLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:SALDANHA
Other - Middle Name:ADELAIDE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110-2044
Mailing Address - Country:US
Mailing Address - Phone:770-824-5077
Mailing Address - Fax:
Practice Address - Street 1:201 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-2044
Practice Address - Country:US
Practice Address - Phone:770-824-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist