Provider Demographics
NPI:1235212952
Name:NABINGER, RICHARD H II (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:NABINGER
Suffix:II
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 1:235 SW CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32024-2001
Mailing Address - Country:US
Mailing Address - Phone:386-719-9817
Mailing Address - Fax:
Practice Address - Street 1:1465 W US HIGHWAY 90
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-6123
Practice Address - Country:US
Practice Address - Phone:386-755-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS35797OtherPHARMACIST LICENSE