MEDICARE: CHERYL RICHTER PHARM D

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	PH00022036	WA

General Provider Information

NPI Number	:	1700361730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL RICHTER PHARM D

Provider Business Mailing Address
First Line	:	201 E PIONEER AVE
Second Line	:
City	:	MONTESANO
State	:	WA
Zip	:	98563-4514
Country	:	US
Telephone Number	:	360-249-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E PIONEER AVE
Second Line	:
City	:	MONTESANO
State	:	WA
Zip	:	98563-4514
Country	:	US
Telephone Number	:	360-249-4444
Fax Number	:	360-249-4595

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

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	09/25/2018

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Directions to “ CHERYL RICHTER PHARM D” Practice Location

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