Provider Demographics
NPI:1982842704
Name:METZGER, RICHARD STUARTS (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:STUARTS
Last Name:METZGER
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 1:324 OSBORNE RD
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1648
Mailing Address - Country:US
Mailing Address - Phone:518-426-5211
Mailing Address - Fax:518-626-0123
Practice Address - Street 1:418 BROADWAY
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207
Practice Address - Country:US
Practice Address - Phone:518-234-7845
Practice Address - Fax:518-234-4693
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist