Individual
BRENT RIEPEL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20 E WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6807
(928) 367-5442
Mailing address
20 E WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6807
(928) 367-5442
(928) 474-0469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8131
AZ
Other
Enumeration date
02/01/2010
Last updated
02/15/2010
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