Provider Demographics
NPI:1700026655
Name:HUNT, RICHARD OWEN (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:OWEN
Last Name:HUNT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 SPOONER RD
Mailing Address - Street 2:
Mailing Address - City:IRON CITY
Mailing Address - State:GA
Mailing Address - Zip Code:39859-3522
Mailing Address - Country:US
Mailing Address - Phone:229-524-5259
Mailing Address - Fax:229-524-5259
Practice Address - Street 1:803 N WILEY AVE
Practice Address - Street 2:
Practice Address - City:DONALSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:39845-1121
Practice Address - Country:US
Practice Address - Phone:229-524-2313
Practice Address - Fax:229-524-1202
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist