DR. Corey David Ridge, PHARMD

NPI #1992322416 in La Vista, Nebraska

Provider Information

NPI Number: 1992322416
Entity Type: Individual
Name: DR. Corey David Ridge, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 30, 2020
Last Updated: Jun 30, 2020

Practice Location

Address: 8380 HARRISON ST
City: La Vista
State: Nebraska
ZIP Code: 68128-2918
Phone: (402) 592-7970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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