Doctor Name: | MR. KENNETH MARK RICHTER |
NPI Number: | 1144484486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 12959 |
Business Practice Address: | 5801 Arnold St. 72nd Medical Group (pharmacy) Tinker Afb, OK - 73145 |
Business Phone Number: | 4057362222 |
Business Fax Number: | |
Mailing Address: | 422 E Symmes St, NORMAN |
State: | OK |
Postal Code: | 730715446 |
Phone Number: | 4056596476 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 12959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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. |