Provider Demographics
NPI:1689993628
Name:RICHARDS, MICHAEL E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:RICHARDS
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 1:1815 CONNECTICUT AVE NW
Mailing Address - Street 2:RITE AID
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5702
Mailing Address - Country:US
Mailing Address - Phone:202-332-1718
Mailing Address - Fax:202-332-9033
Practice Address - Street 1:1815 CONNECTICUT AVE NW
Practice Address - Street 2:RITE AID
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5702
Practice Address - Country:US
Practice Address - Phone:202-332-1718
Practice Address - Fax:202-332-9033
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000364183500000X
MD18678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist