Healthcare Provider Details

I. General information

NPI: 1639140551
Provider Name (Legal Business Name): KASON RICHLER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108C THOMAS CARY CT
WANDO SC
29492-7940
US

IV. Provider business mailing address

108C THOMAS CARY CT
WANDO SC
29492-7940
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-3934
  • Fax: 843-884-8005
Mailing address:
  • Phone: 843-884-3934
  • Fax: 843-884-8005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateSC

VIII. Authorized Official

Name: ALAN B RICHEY
Title or Position: PARTNER
Credential:
Phone: 843-884-3934