Provider Demographics
NPI:1952592313
Name:ADAMCZYK, RICHARD STEVEN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STEVEN
Last Name:ADAMCZYK
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8521 LAMP POST CIR
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-9389
Mailing Address - Country:US
Mailing Address - Phone:315-682-8465
Mailing Address - Fax:
Practice Address - Street 1:8521 LAMP POST CIR
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-9389
Practice Address - Country:US
Practice Address - Phone:315-682-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI31549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist