Provider Demographics
NPI:1134667454
Name:RECH, JUDITH PATRICK (RPH)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:PATRICK
Last Name:RECH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 PREWITT PIKE
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-8124
Mailing Address - Country:US
Mailing Address - Phone:859-585-2988
Mailing Address - Fax:606-723-0265
Practice Address - Street 1:223 RIVER DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-1142
Practice Address - Country:US
Practice Address - Phone:606-723-0265
Practice Address - Fax:606-723-0291
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009851183500000X
SC006026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist