Provider Demographics
NPI:1942528781
Name:D'ATRI, RICHARD (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:D'ATRI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:D'ATRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:10000 BRECKSVILLE RD
Mailing Address - Street 2:PHARMACY 119B
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3241
Mailing Address - Country:US
Mailing Address - Phone:440-526-3030
Mailing Address - Fax:440-546-2734
Practice Address - Street 1:10000 BRECKSVILLE RD
Practice Address - Street 2:PHARMACY 119B
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3241
Practice Address - Country:US
Practice Address - Phone:440-526-3030
Practice Address - Fax:440-546-2734
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03212788261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA