Most Relevant Information
Provider Data
| NPI Number: | 1003398983 |
| Provider Name: | RICHARD TELCK PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | SO23551 |
Most Important Dates
| Enumeration Date: | 09/06/2018 |
| Last Updated: | 10/03/2019 |
Provider Practice Location
7720 E. HIGHWAY 69
PRESCOTT VALLEY
AZ
86314
Practice Location Phone/Fax
| Phone: | 9287727673 |
| Fax: |
Provider Mailing Location
8336 E STEVENS DR APT B
PRESCOTT VALLEY
AZ
863141108
Provider Mailing Phone/Fax
| Phone: | 3073891173 |
| Fax: |