Provider Demographics
NPI:1336582808
Name:RICHARDS, RANDALL L (RPH)
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:L
Last Name:RICHARDS
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 1:8055 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1910
Mailing Address - Country:US
Mailing Address - Phone:303-487-5325
Mailing Address - Fax:303-487-5325
Practice Address - Street 1:8055 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1910
Practice Address - Country:US
Practice Address - Phone:303-487-5325
Practice Address - Fax:303-487-5325
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist