Provider Demographics
NPI:1720286701
Name:PAOLETTI, RICHARD DANIEL JR (MBA, RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DANIEL
Last Name:PAOLETTI
Suffix:JR
Gender:M
Credentials:MBA, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 OWENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIV
Mailing Address - State:PA
Mailing Address - Zip Code:19352-9140
Mailing Address - Country:US
Mailing Address - Phone:610-742-6351
Mailing Address - Fax:
Practice Address - Street 1:153 OWENWOOD DR
Practice Address - Street 2:
Practice Address - City:LINCOLN UNIV
Practice Address - State:PA
Practice Address - Zip Code:19352-9140
Practice Address - Country:US
Practice Address - Phone:610-742-6351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041713L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist