Provider Demographics
NPI:1063547263
Name:RICHLAND INC.
Entity type:Organization
Organization Name:RICHLAND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MESSINA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:937-675-2211
Mailing Address - Street 1:6 N LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45335-1504
Mailing Address - Country:US
Mailing Address - Phone:937-675-2211
Mailing Address - Fax:937-675-2367
Practice Address - Street 1:12459 E US RT 22 3
Practice Address - Street 2:
Practice Address - City:SABINA
Practice Address - State:OH
Practice Address - Zip Code:45169
Practice Address - Country:US
Practice Address - Phone:937-584-2424
Practice Address - Fax:937-584-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-01823503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0477854Medicaid