Provider Demographics
NPI:1578560330
Name:OST, RICHARD S (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:OST
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 E LEHIGH AVE
Mailing Address - Street 2:C/O PHILADELPHIA PHARMACY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1011
Mailing Address - Country:US
Mailing Address - Phone:215-425-2800
Mailing Address - Fax:215-425-2889
Practice Address - Street 1:101 E LEHIGH AVE
Practice Address - Street 2:C/O PHILADELPHIA PHARMACY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-1011
Practice Address - Country:US
Practice Address - Phone:215-425-2800
Practice Address - Fax:215-425-2889
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARP032147L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist