Individual
DR. CHAD RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(770) 420-1092
Mailing address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741958A
—
GA
Enumeration date
08/20/2015
Last updated
08/20/2015
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