Provider Demographics
NPI:1023006475
Name:RICHARDS, ERNEST CHARLES JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:CHARLES
Last Name:RICHARDS
Suffix:JR
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 1:2924 HECLA ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6318
Mailing Address - Country:US
Mailing Address - Phone:406-782-0600
Mailing Address - Fax:
Practice Address - Street 1:327 S EXCELSIOR AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1536
Practice Address - Country:US
Practice Address - Phone:406-723-3308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist