Organization
KRIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BRIAN KRIDER RPH (OWNER)
(920) 499-6772
Entity
Organization
Contact information
Practice address
1119 W MASON ST, GREEN BAY, WI 54303-1895
(920) 499-6225
(920) 499-4544
Mailing address
1119 W MASON ST, GREEN BAY, WI 54303-1895
(920) 499-6225
(920) 499-4544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33090100
—
WI
Enumeration date
12/09/2005
Last updated
09/11/2025
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