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Individual

TRAVIS E RICHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
100 E JEFFERSON ST, FRANKLIN, IN 46131-2323
(317) 736-5631
(317) 346-6669
Mailing address
2252 HAMPTON DR., FRANKLIN, IN 46131-6804
(317) 850-1233
(317) 346-6669

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018321A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26018321A
PHARMACIST LICENSE
IN
01
PS39515
PHARMACIST LICENSE
FL
Enumeration date
03/28/2007
Last updated
07/08/2007
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