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NPI Code Detail

MEDICARE: ALEC RICHARDS

MEDICARE: ALEC RICHARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist3966WY

General Provider Information

NPI Number : 1528584059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC RICHARDS
Provider Business Mailing Address
First Line : 4255 CY AVE
Second Line :
City : CASPER
State : WY
Zip : 82604-4247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4255 CY AVE
Second Line :
City : CASPER
State : WY
Zip : 82604-4247
Country : US
Telephone Number : 307-232-9605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 08/16/2017

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Directions to “ ALEC RICHARDS ” Practice Location

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