Provider Demographics
NPI:1184224057
Name:RICHMAN, ADANNA DEE (RPH)
Entity Type:Individual
Prefix:
First Name:ADANNA
Middle Name:DEE
Last Name:RICHMAN
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 1:1025 MUD RUN RD
Mailing Address - Street 2:
Mailing Address - City:PURGITSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26852-8195
Mailing Address - Country:US
Mailing Address - Phone:304-289-3901
Mailing Address - Fax:
Practice Address - Street 1:11 HARNESS RD
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-8600
Practice Address - Country:US
Practice Address - Phone:304-538-3481
Practice Address - Fax:304-538-3483
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist