Healthcare Provider Details

I. General information

NPI: 1568725398
Provider Name (Legal Business Name): CHASE RICE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S STATE ST
NORTON KS
67654-2142
US

IV. Provider business mailing address

102 S STATE ST
NORTON KS
67654-2142
US

V. Phone/Fax

Practice location:
  • Phone: 785-877-2721
  • Fax: 785-874-4281
Mailing address:
  • Phone: 785-877-2721
  • Fax: 785-874-4281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14770
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1-14770
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: