Healthcare Provider Details

I. General information

NPI: 1427160480
Provider Name (Legal Business Name): PAULA GRIGAR RYCHLIK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4945 WILLIAMS DR
GEORGETOWN TX
78628-2008
US

IV. Provider business mailing address

2909 BRANDY LN
GEORGETOWN TX
78628-2750
US

V. Phone/Fax

Practice location:
  • Phone: 512-819-0522
  • Fax: 512-819-0520
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43439
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: