Provider Demographics
NPI:1801845045
Name:RICHHART VALUE PLUS PHARMACY INC.
Entity Type:Organization
Organization Name:RICHHART VALUE PLUS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:FREELAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:317-831-4250
Mailing Address - Street 1:4231 TEKESBURY CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-8226
Mailing Address - Country:US
Mailing Address - Phone:317-839-7907
Mailing Address - Fax:
Practice Address - Street 1:390 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1555
Practice Address - Country:US
Practice Address - Phone:317-831-4250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26011077A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0161950001Medicare ID - Type Unspecified