Healthcare Provider Details

I. General information

NPI: 1518252402
Provider Name (Legal Business Name): KRISTIN JO RICH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2011
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

IV. Provider business mailing address

7899 WADSWORTH BLVD T-0048
ARVADA CO
80003-2107
US

V. Phone/Fax

Practice location:
  • Phone: 269-965-8866
  • Fax:
Mailing address:
  • Phone: 303-425-8722
  • Fax: 303-425-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302028147
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: