Provider Demographics
NPI:1568725398
Name:RICE, CHASE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:
Last Name:RICE
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 1:102 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-2142
Mailing Address - Country:US
Mailing Address - Phone:785-877-2721
Mailing Address - Fax:785-874-4281
Practice Address - Street 1:102 S STATE ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654-2142
Practice Address - Country:US
Practice Address - Phone:785-877-2721
Practice Address - Fax:785-874-4281
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist