Provider Demographics
NPI:1831825645
Name:RICHLING, DOUGLAS WERNER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:WERNER
Last Name:RICHLING
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 1:3115 BISON CT
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-6548
Mailing Address - Country:US
Mailing Address - Phone:308-258-0713
Mailing Address - Fax:
Practice Address - Street 1:2250 N DIERS AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1258
Practice Address - Country:US
Practice Address - Phone:308-381-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist