Provider Demographics
NPI:1003784166
Name:RICHE, LANCE
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:RICHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 S VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-4217
Mailing Address - Country:US
Mailing Address - Phone:801-486-8477
Mailing Address - Fax:801-464-8427
Practice Address - Street 1:3215 S VALLEY ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-4217
Practice Address - Country:US
Practice Address - Phone:801-486-8477
Practice Address - Fax:801-464-8427
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11431287-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist