Provider Demographics
NPI:1255352894
Name:COX, RICHARD P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:COX
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 E 200 N
Mailing Address - Street 2:
Mailing Address - City:MANTI
Mailing Address - State:UT
Mailing Address - Zip Code:84642-1133
Mailing Address - Country:US
Mailing Address - Phone:435-835-4152
Mailing Address - Fax:
Practice Address - Street 1:159 N MAIN ST
Practice Address - Street 2:PHARMACY
Practice Address - City:MANTI
Practice Address - State:UT
Practice Address - Zip Code:84642-1257
Practice Address - Country:US
Practice Address - Phone:435-835-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT369027-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist