Organization
RICHEY FAS, LLC
Active
Other names
Richey and Company Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT R RICHEY (PRESIDENT)
(434) 975-5434
Entity
Organization
Contact information
Practice address
1643 ROCKVILLE PIKE UNIT B, ROCKVILLE, MD 20852-7601
(301) 881-3121
(301) 881-3779
Mailing address
1411 SACHEM PL, SUITE 3, CHARLOTTESVILLE, VA 22901-2556
(434) 975-5434
(434) 975-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401670000
—
MD
Enumeration date
10/24/2006
Last updated
12/29/2016
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