Individual
DR. RICHARD CHARLES FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3065 DAUPHIN ST, MOBILE, AL 36606-4040
(251) 479-9486
Mailing address
19780 OGRADY AVE, ROBERTSDALE, AL 36567-8729
(251) 947-2248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15364
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15364
PHARMACIST LICENSE
AL
Enumeration date
01/06/2016
Last updated
01/06/2016
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