Provider Demographics
NPI:1063400976
Name:SEARFOSS, RICK THOMAS (RPH)
Entity type:Individual
Prefix:MR
First Name:RICK
Middle Name:THOMAS
Last Name:SEARFOSS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 571
Mailing Address - Street 2:209 W FIRST ST.
Mailing Address - City:PIONEER
Mailing Address - State:OH
Mailing Address - Zip Code:43554-0571
Mailing Address - Country:US
Mailing Address - Phone:419-737-2372
Mailing Address - Fax:
Practice Address - Street 1:30 N HOWELL ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1621
Practice Address - Country:US
Practice Address - Phone:517-437-4497
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist