Healthcare Provider Details

I. General information

NPI: 1992844245
Provider Name (Legal Business Name): THOMAS E. RICHMOND R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 OLD SONOMA RD FAMILY DRUG
NAPA CA
94559-3714
US

IV. Provider business mailing address

1805 OLD SONOMA RD FAMILY DRUG
NAPA CA
94559-3714
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-7806
  • Fax: 707-224-7880
Mailing address:
  • Phone: 707-224-7806
  • Fax: 707-224-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number38171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: