Individual
KENNETH RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2003 BROADWAY ST, ANDERSON, IN 46012-1602
(765) 643-1515
(765) 642-1128
Mailing address
2003 BROADWAY ST, ANDERSON, IN 46012-1602
(765) 643-1515
(765) 642-1128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026715A
IN
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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