Provider Demographics
NPI:1619420841
Name:RYCHLY, DAVID (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:RYCHLY
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 1:3435 WRIGHTSBORO RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2518
Mailing Address - Country:US
Mailing Address - Phone:706-733-7352
Mailing Address - Fax:706-667-8326
Practice Address - Street 1:3435 WRIGHTSBORO RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-2518
Practice Address - Country:US
Practice Address - Phone:706-733-7352
Practice Address - Fax:706-667-8326
Is Sole Proprietor?:No
Enumeration Date:2016-07-23
Last Update Date:2016-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA22553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist