Individual
MR. BRANDON JOSEPH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
20266 N LAKE PLEASANT RD, PEORIA, AZ 85382-9711
(623) 561-5422
Mailing address
20266 N LAKE PLEASANT RD, PEORIA, AZ 85382-9711
(623) 561-5422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020096
AZ
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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