Individual
NATHAN RIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
356 12TH ST SW, FOREST LAKE, MN 55025-1749
(651) 464-1994
Mailing address
10130 JULEP TRL N, SCANDIA, MN 55073-9770
(651) 500-5466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
813773
MN
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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