Provider Demographics
NPI:1073812186
Name:KENDRICK, RICHARD BRIAN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:BRIAN
Last Name:KENDRICK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 5TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-2309
Mailing Address - Country:US
Mailing Address - Phone:205-847-5390
Mailing Address - Fax:866-614-9266
Practice Address - Street 1:3220 5TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-2309
Practice Address - Country:US
Practice Address - Phone:205-847-5390
Practice Address - Fax:866-614-9266
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16971183500000X
MSE-09994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist