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General NPI Number Information
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NPI Number | 1104901768
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Entity Type | Organization
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Legal Business Name | RICHARDSON'S RIGHT CHOICE PHARMACY
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3132 S SENECA ST
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City | WICHITA
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State | KS
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Zip | 67217-3244
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Country | US
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Telephone | 316-554-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 S SENECA ST
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City | WICHITA
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State | KS
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Zip | 67217-3244
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Country | US
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Telephone | 316-554-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENT RICHARDSON
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Credential | RPH
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Telephone | 316-773-0412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 209909
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License Number State | KS
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