Provider Demographics
NPI:1194937375
Name:CLAPP, RICHARD EDWIN (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:EDWIN
Last Name:CLAPP
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 1:607 OAKMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5125
Mailing Address - Country:US
Mailing Address - Phone:813-633-1038
Mailing Address - Fax:813-642-0421
Practice Address - Street 1:1615 SUN CITY CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5385
Practice Address - Country:US
Practice Address - Phone:813-634-1729
Practice Address - Fax:813-642-0421
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26427183500000X
OH03106219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist