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Individual

SARA RIEBOLDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
N65W24838 MAIN ST, SUSSEX, WI 53089-2670
(262) 946-6363
(262) 946-6364
Mailing address
N66W25201 COUNTY HIGHWAY VV, SUSSEX, WI 53089-2677
(262) 820-2611
(262) 820-2592

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
14416-040
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14416-040
WI

Other

Enumeration date
10/31/2012
Last updated
01/24/2020
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