Provider Demographics
NPI:1316224918
Name:DANG, RICHARD T (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:DANG
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:THANH
Other - Middle Name:RICHARD
Other - Last Name:DANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:245 S SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2441
Mailing Address - Country:US
Mailing Address - Phone:303-232-7549
Mailing Address - Fax:
Practice Address - Street 1:245 S SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2441
Practice Address - Country:US
Practice Address - Phone:303-232-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist