Richard Rostholder in Hollis - Pharmacist

Richard Rostholder - NPI 1114074689

Richard Rostholder is a Pharmacist in Hollis, New York. Richard Rostholder practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Richard Rostholder is 1114074689. The last update date is 2007-07-09.

Richard Rostholder's current location address is 20419 Hillside Ave, Hollis, New York. You can contact this provider via phone number 7184652121 and fax number 7182179794. The mailing address for Richard Rostholder is 20419 Hillside Ave, Hollis, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Rostholder
Address 20419 Hillside Ave, Hollis, New York
Phone Number 7184652121
Fax Number 7182179794
Sole Proprietor Y
Credentials R.PH

NPI Number Detail

NPI Number 1114074689
Provider Enumeration Date 2007-01-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 20419 Hillside Ave
City Hollis
State New York (NY)
Post Code 114232213
Phone Number 7184652121
Fax Number 7182179794

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 32723
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10520 NY STATE PHARMACY LICENSE
261789 NY --
3303043 NY NABP

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FAQs about Richard Rostholder

What is the unique provider identifier assigned to Richard Rostholder?

The Richard Rostholder has been issued the NPI (National Provider Identifier) 1114074689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Richard Rostholder's facilities are situated?

The facilities of Richard Rostholder are physically located at the following address: 20419 Hillside Ave, Hollis, NY, 114232213.

What is Richard Rostholder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard Rostholder's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.

When was the Richard Rostholder's 1114074689 issued?

The Richard Rostholder's 1114074689 was issued on 2007-01-05.

As of what date were the details related to Richard Rostholder most recently updated or revised?

The information pertaining to Richard Rostholder, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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