Healthcare Provider Details

I. General information

NPI: 1144504341
Provider Name (Legal Business Name): LORI L RICHARDS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 E. GALBRAITH ROAD
CINCINNATI OH
45236
US

IV. Provider business mailing address

9814 VILLAGEVIEW CT
BLUE ASH OH
45241-3802
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-2808
  • Fax: 513-891-8643
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-3-24111
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: