MEDICARE: CLAUDETTE RICHARDS RPH. PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS35103	FL

General Provider Information

NPI Number	:	1306011713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDETTE RICHARDS RPH. PHARM D

Provider Business Mailing Address
First Line	:	1865 W WOOLBRIGHT RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6321
Country	:	US
Telephone Number	:	561-734-0036
Fax Number	:	561-734-0039

Provider Business Practice Location Address
First Line	:	1865 W WOOLBRIGHT RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6321
Country	:	US
Telephone Number	:	561-734-0036
Fax Number	:	561-734-0039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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