Provider Demographics
NPI:1801042510
Name:SMIGA, RICHARD R (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:R
Last Name:SMIGA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 WHEATFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9022
Mailing Address - Country:US
Mailing Address - Phone:717-232-9490
Mailing Address - Fax:717-232-5909
Practice Address - Street 1:1800 LINGLESTOWN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3347
Practice Address - Country:US
Practice Address - Phone:717-232-9490
Practice Address - Fax:717-232-5909
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033743L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist