MR. Bruce Jon Riendeau, RPH

NPI #1821342627 in Wautoma, Wisconsin

Provider Information

NPI Number: 1821342627
Entity Type: Individual
Name: MR. Bruce Jon Riendeau, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 31, 2012
Last Updated: Oct 31, 2012

Practice Location

Address: N2585 PLAZA RD # 1409
City: Wautoma
State: Wisconsin
ZIP Code: 54982-7706
Phone: (920) 787-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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