Provider Demographics
NPI:1053493858
Name:RISCH NUMBER THREE INC
Entity Type:Organization
Organization Name:RISCH NUMBER THREE INC
Other - Org Name:RISCH DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMICIST AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RISCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-653-1324
Mailing Address - Street 1:533 N COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3036
Mailing Address - Country:US
Mailing Address - Phone:740-653-1324
Mailing Address - Fax:740-681-4157
Practice Address - Street 1:533 N COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3036
Practice Address - Country:US
Practice Address - Phone:740-653-1324
Practice Address - Fax:740-681-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0201018003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2075051OtherPK
OH7382176Medicaid