Individual
AMBER RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 BELLEFONTAINE ST, WAPAKONETA, OH 45895-9732
(419) 738-0490
(419) 738-0493
Mailing address
16911 STATE ROUTE 501, WAPAKONETA, OH 45895-9332
(419) 773-9132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-27149
OH
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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