Provider Demographics
NPI:1871671578
Name:TEMPLETON, RICHARD E (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:TEMPLETON
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 1:15728 COUNTY ROAD 341
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-8120
Mailing Address - Country:US
Mailing Address - Phone:325-677-5385
Mailing Address - Fax:325-675-5342
Practice Address - Street 1:505 S ACCESS RD
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:TX
Practice Address - Zip Code:79510-1445
Practice Address - Country:US
Practice Address - Phone:325-893-4297
Practice Address - Fax:325-893-4532
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX21089OtherPHARMACIST LICENSE #