Individual
KAY RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4048 NW HIGHWAY 101, LINCOLN CITY, OR 97367-5069
(541) 994-5670
Mailing address
4048 NW HIGHWAY 101, LINCOLN CITY, OR 97367-5069
(541) 994-5670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014940
OR
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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