Provider Demographics
NPI:1558680173
Name:PARKER, RICHARD M (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:PARKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 S LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-5042
Mailing Address - Country:US
Mailing Address - Phone:248-628-4283
Mailing Address - Fax:248-628-5887
Practice Address - Street 1:999 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-5042
Practice Address - Country:US
Practice Address - Phone:248-628-4283
Practice Address - Fax:248-628-5887
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302021818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist