Provider Demographics
NPI:1710430954
Name:RICO, JAMES JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:RICO
Suffix:JR
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 1:118 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4709
Mailing Address - Country:US
Mailing Address - Phone:203-801-0808
Mailing Address - Fax:203-801-0707
Practice Address - Street 1:118 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4709
Practice Address - Country:US
Practice Address - Phone:203-801-0808
Practice Address - Fax:203-801-0707
Is Sole Proprietor?:No
Enumeration Date:2016-07-24
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0011862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist