Provider Demographics
NPI:1285987677
Name:RICHTERMAN, GABRIELLE JULZ (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:JULZ
Last Name:RICHTERMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 E SILVER SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6709
Mailing Address - Country:US
Mailing Address - Phone:352-629-8721
Mailing Address - Fax:
Practice Address - Street 1:807 E SILVER SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6709
Practice Address - Country:US
Practice Address - Phone:352-629-8721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist