Individual
DR. STEPHANIE M RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD CPP
Contact information
Practice address
3511 W MARKET ST, SUITE 100, GREENSBORO, NC 27403-4443
(336) 632-3505
Mailing address
5116 FOXVIEW DR, PLEASANT GARDEN, NC 27313-9572
(336) 676-8856
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
700008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700008
CLINICAL PHARMACIST PRACT
NC
Enumeration date
04/25/2007
Last updated
03/07/2023
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