Provider Demographics
NPI:1578786257
Name:CARDIN, RICHARD FRANKLIN (R PH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:FRANKLIN
Last Name:CARDIN
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:F
Other - Last Name:CARDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:111 CANAAN CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27850-8133
Mailing Address - Country:US
Mailing Address - Phone:252-586-6354
Mailing Address - Fax:
Practice Address - Street 1:720 SUTTERS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8429
Practice Address - Country:US
Practice Address - Phone:252-937-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist