Individual
RICHARD CLINTON TRIEBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
115 E MAPLE ST, NEW LENOX, IL 60451-1833
(815) 215-3183
(815) 768-1772
Mailing address
115 E MAPLE ST, NEW LENOX, IL 60451-1833
(815) 215-3183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051036059
IL
3336C0003X
Community/Retail Pharmacy
Primary
051036059
IL
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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