Provider Demographics
NPI:1386793966
Name:RZIHA, DAVID PAUL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:RZIHA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HERINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67449-2244
Mailing Address - Country:US
Mailing Address - Phone:785-258-3703
Mailing Address - Fax:785-258-2282
Practice Address - Street 1:2 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HERINGTON
Practice Address - State:KS
Practice Address - Zip Code:67449-2244
Practice Address - Country:US
Practice Address - Phone:785-258-3703
Practice Address - Fax:785-258-2282
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1-13787OtherPHARMACY LICENSE