Provider Demographics
NPI:1811411796
Name:PRESEL, RICHARD F (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:PRESEL
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 1:3034 PITCHFORK DR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1540
Mailing Address - Country:US
Mailing Address - Phone:215-620-0825
Mailing Address - Fax:
Practice Address - Street 1:105 GAMMA DR STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2991
Practice Address - Country:US
Practice Address - Phone:866-824-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist