Provider Demographics
NPI:1942389952
Name:BUCHANAN, RICHARD FOSTER (RPH)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FOSTER
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-1214
Mailing Address - Country:US
Mailing Address - Phone:706-888-8288
Mailing Address - Fax:706-655-9243
Practice Address - Street 1:5995 SPRING STREET
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830
Practice Address - Country:US
Practice Address - Phone:706-655-9244
Practice Address - Fax:706-655-9243
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist