Provider Demographics
NPI:1306917737
Name:RICHARDSON, DARLENE L (RPH)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:L
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HIDDEN BAY DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-4708
Mailing Address - Country:US
Mailing Address - Phone:803-469-3526
Mailing Address - Fax:
Practice Address - Street 1:105 N. MAGNOLIA ST.
Practice Address - Street 2:REGION 4 HEALTH DISTRICT PHARMACY
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29151-1628
Practice Address - Country:US
Practice Address - Phone:803-773-5511
Practice Address - Fax:803-773-6366
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist