Provider Demographics
NPI:1245579275
Name:KUK, RICHARD T (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:T
Last Name:KUK
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 1:302 BANGOR LN
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2025
Mailing Address - Country:US
Mailing Address - Phone:215-432-1300
Mailing Address - Fax:215-432-1301
Practice Address - Street 1:1535 W STREET RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3100
Practice Address - Country:US
Practice Address - Phone:215-442-1300
Practice Address - Fax:215-442-1301
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045839L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist