Provider Demographics
NPI:1205347598
Name:RICH, ADRIANA P (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:P
Last Name:RICH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3639 ELDER OAKS BLVD APT 9104
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3390
Mailing Address - Country:US
Mailing Address - Phone:850-450-2942
Mailing Address - Fax:
Practice Address - Street 1:5804 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-3743
Practice Address - Country:US
Practice Address - Phone:410-265-7754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist