Healthcare Provider Details

I. General information

NPI: 1891169694
Provider Name (Legal Business Name): RICKY SCOTT HOOD PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S RIDGE RD
WICHITA KS
67209-2908
US

IV. Provider business mailing address

2022 SOUTH WEBB RD. #231
WICHITA KS
67207
UM

V. Phone/Fax

Practice location:
  • Phone: 316-945-7455
  • Fax:
Mailing address:
  • Phone: 316-655-9594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number117163
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: