Individual
MICHELLE K RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NHA CPH
Contact information
Practice address
2451 S SPRINGFIELD AVE, BOLIVAR, MO 65613-9123
(417) 326-5228
(417) 777-8004
Mailing address
2451 S SPRINGFIELD AVE, BOLIVAR, MO 65613-9123
(417) 326-5225
(417) 777-8004
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2015004969
MO
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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