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NPI Code Detail

MEDICARE: MR. MICHAEL D RICHARDS RPH

MEDICARE: MR. MICHAEL D RICHARDS RPH
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
1183500000XPharmacist3148MT

General Provider Information

NPI Number : 1710153945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL D RICHARDS RPH
Provider Business Mailing Address
First Line : 201 E PARK AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-2340
Country : US
Telephone Number : 406-563-8441
Fax Number : 406-563-2956
Provider Business Practice Location Address
First Line : 201 E PARK AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-2340
Country : US
Telephone Number : 406-563-8441
Fax Number : 406-563-2956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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