Provider Demographics
NPI:1952198947
Name:CLEVELAND, RICHARD W JR (PHARMD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:W
Last Name:CLEVELAND
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-8081
Mailing Address - Country:US
Mailing Address - Phone:540-812-5454
Mailing Address - Fax:
Practice Address - Street 1:20480 ROUTE 19
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-7501
Practice Address - Country:US
Practice Address - Phone:724-778-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist