Healthcare Provider Details

I. General information

NPI: 1790735611
Provider Name (Legal Business Name): RICHARD L SHARP R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5135 PLAINS BLVD
AMARILLO TX
79106-4515
US

IV. Provider business mailing address

2703 WILBUR DR
AMARILLO TX
79110-2321
US

V. Phone/Fax

Practice location:
  • Phone: 806-352-2708
  • Fax:
Mailing address:
  • Phone: 806-353-0749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19455
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: