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NPI Code Detail

MEDICARE: JOANNE RICHERSON PHARMD

MEDICARE: JOANNE RICHERSON PHARMD
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
1183500000XPharmacist72721CA

General Provider Information

NPI Number : 1689048589
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE RICHERSON PHARMD
Provider Business Mailing Address
First Line : PO BOX 1056
Second Line :
City : CAMINO
State : CA
Zip : 95709-1056
Country : US
Telephone Number : 530-417-1172
Fax Number :
Provider Business Practice Location Address
First Line : 6450 PONY EXPRESS TRL
Second Line :
City : POLLOCK PINES
State : CA
Zip : 95726-9601
Country : US
Telephone Number : 530-647-8013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2015
Last Update Date : 11/17/2015

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Directions to “ JOANNE RICHERSON PHARMD” Practice Location

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