Provider Demographics
NPI:1033432596
Name:PINCKNEY, RICHARD ERIC (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ERIC
Last Name:PINCKNEY
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 1:44 GREENLINKS TURN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021
Mailing Address - Country:US
Mailing Address - Phone:315-252-5258
Mailing Address - Fax:315-282-0091
Practice Address - Street 1:37 W GARDEN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2662
Practice Address - Country:US
Practice Address - Phone:315-282-0088
Practice Address - Fax:315-282-0091
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY042939OtherNY STATE PHARMACY LISCENCE