Provider Demographics
NPI:1558608224
Name:NEAL, RICHARD D (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:NEAL
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 1:8075 SW HIGHWAY 200
Mailing Address - Street 2:UNIT 111
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-7823
Mailing Address - Country:US
Mailing Address - Phone:352-291-0372
Mailing Address - Fax:352-291-0384
Practice Address - Street 1:8075 SW HIGHWAY 200
Practice Address - Street 2:UNIT 111
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7823
Practice Address - Country:US
Practice Address - Phone:352-291-0372
Practice Address - Fax:352-291-0384
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0034209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist