Provider Demographics
NPI:1548492077
Name:RYCHEL, RIKKI LEE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:RIKKI
Middle Name:LEE
Last Name:RYCHEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:RIKKI
Other - Middle Name:LEE
Other - Last Name:HABERNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10701 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1702
Mailing Address - Country:US
Mailing Address - Phone:216-791-3800
Mailing Address - Fax:216-231-3291
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:216-231-3291
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist