Individual
JONATHAN RIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1110 E OGDEN AVE APT 318, MILWAUKEE, WI 53202-2939
(719) 459-9156
Mailing address
1110 E OGDEN AVE APT 318, MILWAUKEE, WI 53202-2939
(719) 459-9156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2092440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092440
INSURANCE
WI
05
—
2092440
—
WI
Enumeration date
08/02/2021
Last updated
08/02/2021
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