Provider Demographics
NPI:1891169694
Name:HOOD, RICKY SCOTT (PHARM D)
Entity type:Individual
Prefix:
First Name:RICKY
Middle Name:SCOTT
Last Name:HOOD
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 1:2022 SOUTH WEBB RD. #231
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207
Mailing Address - Country:UM
Mailing Address - Phone:316-655-9594
Mailing Address - Fax:
Practice Address - Street 1:1402 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2908
Practice Address - Country:US
Practice Address - Phone:316-945-7455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS117163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist