Provider Demographics
NPI:1003965575
Name:WHITVER, RICHARD MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:MICHAEL
Last Name:WHITVER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8248 GLASGOW ROAD ON THE LK
Mailing Address - Street 2:
Mailing Address - City:CASSADAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14718-9606
Mailing Address - Country:US
Mailing Address - Phone:716-680-1009
Mailing Address - Fax:
Practice Address - Street 1:4600 ROUTE 60
Practice Address - Street 2:
Practice Address - City:GERRY
Practice Address - State:NY
Practice Address - Zip Code:14740-9562
Practice Address - Country:US
Practice Address - Phone:716-985-4649
Practice Address - Fax:716-985-6638
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist