Provider Demographics
NPI:1770605685
Name:MARCKLINGER, RICHARD L (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:MARCKLINGER
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 1:7480 JEWETT HOLMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3033
Mailing Address - Country:US
Mailing Address - Phone:716-662-0008
Mailing Address - Fax:716-853-3577
Practice Address - Street 1:350 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1833
Practice Address - Country:US
Practice Address - Phone:716-853-3111
Practice Address - Fax:716-853-3577
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist