Provider Demographics
NPI:1710162474
Name:KLEE, RICHARD LOUIS (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LOUIS
Last Name:KLEE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14904-2948
Mailing Address - Country:US
Mailing Address - Phone:607-737-6407
Mailing Address - Fax:607-734-6407
Practice Address - Street 1:1600 CEDAR ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14904-2948
Practice Address - Country:US
Practice Address - Phone:607-737-6407
Practice Address - Fax:607-734-6407
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034592183500000X
PARP028079L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist