Provider Demographics
NPI:1548634587
Name:KRESS, RICHARD (RPH,CCP,FASCP)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:KRESS
Suffix:
Gender:M
Credentials:RPH,CCP,FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE #9
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1322
Mailing Address - Country:US
Mailing Address - Phone:856-323-8723
Mailing Address - Fax:856-323-8577
Practice Address - Street 1:208 WHITE HORSE PIKE
Practice Address - Street 2:SUITE #9
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1322
Practice Address - Country:US
Practice Address - Phone:856-323-8723
Practice Address - Fax:856-323-8577
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02629700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist