MEDICARE: RICHARDSON HUNTER ENTERPRISES INC

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	3336C0003X	Community/Retail Pharmacy	18556	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4562686	OTHER	TX	NABP

General Provider Information

NPI Number	:	1881702512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARDSON HUNTER ENTERPRISES INC

Provider Business Mailing Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-447-7648
Fax Number	:	281-447-7740

Provider Business Practice Location Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-447-7648
Fax Number	:	281-447-7740

Authorized Official
Title or Position	:	OWNER/CHIEF PHARMACIST
Name	:	MR. RONALD A. RICHARDSON
Credential	:	R.PH.
Telephone Number	:	281-447-7648

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	05/15/2014

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