Individual
STACI B RIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6500
(608) 260-6510
Mailing address
1808 WEST BELTINE HWY, MADISON, WI 53713-2334
(608) 250-1408
(608) 250-1463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11936
WI
Other
Enumeration date
12/24/2007
Last updated
12/18/2012
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