MEDICARE: DR. CHRISTINA RICHEY PHARMD

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
1	183500000X	Pharmacist	03334366	OH
2	183500000X	Pharmacist	012219	KY

General Provider Information

NPI Number	:	1649648841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA RICHEY PHARMD

Provider Business Mailing Address
First Line	:	7870 OLENTANGY RIVER RD STE 202
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1300
Country	:	US
Telephone Number	:	614-847-0109
Fax Number	:	614-847-0960

Provider Business Practice Location Address
First Line	:	7870 OLENTANGY RIVER RD STE 202
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1300
Country	:	US
Telephone Number	:	614-847-0109
Fax Number	:	614-847-0960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	09/04/2015

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