Provider Demographics
NPI:1033549613
Name:BUCKINGHAM, RICHMOND (PHARMD, MBA)
Entity Type:Individual
Prefix:
First Name:RICHMOND
Middle Name:
Last Name:BUCKINGHAM
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 COUNTY ROAD 804
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:CO
Mailing Address - Zip Code:80442
Mailing Address - Country:US
Mailing Address - Phone:970-726-9484
Mailing Address - Fax:
Practice Address - Street 1:40 COUNTY ROAD 804
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:CO
Practice Address - Zip Code:80442
Practice Address - Country:US
Practice Address - Phone:970-726-9484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist