Provider Demographics
NPI:1457906968
Name:BLANKENSHIP, RICHARD SETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SETH
Last Name:BLANKENSHIP
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 1:2178 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6615
Mailing Address - Country:US
Mailing Address - Phone:318-418-0514
Mailing Address - Fax:
Practice Address - Street 1:132 EAST THACH AVENUE 2155 WALKER BUILDING
Practice Address - Street 2:
Practice Address - City:AUBURN UNIVERSITY
Practice Address - State:AL
Practice Address - Zip Code:36849-0001
Practice Address - Country:US
Practice Address - Phone:334-844-4099
Practice Address - Fax:334-844-4019
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023093183500000X
AL21028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist