| Doctor Name: | MR. TED RICE |
| NPI Number: | 1114251329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMACIST |
| License Number: | RP042856R |
| Business Practice Address: | 325 E H St Iron Mountain, MI - 498014760 |
| Business Phone Number: | 9067743300 |
| Business Fax Number: | 9067793141 |
| Mailing Address: | 217 W B St, IRON MOUNTAIN |
| State: | MI |
| Postal Code: | 498013336 |
| Phone Number: | 4124272676 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | RP042856R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |