Provider Demographics
NPI:1487937553
Name:RICHARDS-COATS, ALYCE AILEEN (RPH)
Entity type:Individual
Prefix:MS
First Name:ALYCE
Middle Name:AILEEN
Last Name:RICHARDS-COATS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 LYN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-9717
Mailing Address - Country:US
Mailing Address - Phone:970-985-9242
Mailing Address - Fax:
Practice Address - Street 1:2205 LYN ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-9717
Practice Address - Country:US
Practice Address - Phone:970-985-9242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist