Provider Demographics
NPI:1013083591
Name:DILLON, RICHARD WILLIAM (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:WILLIAM
Last Name:DILLON
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 1:1336 FORD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1469
Mailing Address - Country:US
Mailing Address - Phone:440-473-0952
Mailing Address - Fax:216-844-7596
Practice Address - Street 1:UNIVERSITY HOSPITALS OF CLEVELAND
Practice Address - Street 2:11100 EUCLID AVE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1000
Practice Address - Country:US
Practice Address - Phone:216-844-8459
Practice Address - Fax:216-844-7596
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03213116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist