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Individual

DR. LAURA RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D., RPH.

Contact information

Practice address
1240 PARK AVE W, MANSFIELD, OH 44906-2814
(419) 528-1862
(419) 528-1864
Mailing address
1240 PARK AVE W, MANSFIELD, OH 44906-2814
(419) 528-1862
(419) 528-1864

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03330926
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03330926
OH

Other

Enumeration date
04/19/2017
Last updated
06/19/2026
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