Provider Demographics
NPI:1588660187
Name:CAGLE, RICHARD DAVID (RPH, DPH, PD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DAVID
Last Name:CAGLE
Suffix:
Gender:M
Credentials:RPH, DPH, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 NE 7TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-1193
Mailing Address - Country:US
Mailing Address - Phone:352-236-1750
Mailing Address - Fax:352-622-0130
Practice Address - Street 1:202 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5138
Practice Address - Country:US
Practice Address - Phone:352-622-4148
Practice Address - Fax:352-622-0130
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0023037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist