Most Relevant Information
Provider Data
| NPI Number: | 1003591579 |
| Provider Name: | NATHAN RIEDEMAN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 813773 |
Most Important Dates
| Enumeration Date: | 06/21/2023 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
356 12TH ST SW
FOREST LAKE
MN
550251749
Practice Location Phone/Fax
| Phone: | 6514641994 |
| Fax: |
Provider Mailing Location
10130 JULEP TRL N
SCANDIA
MN
550739770
Provider Mailing Phone/Fax
| Phone: | 6515005466 |
| Fax: |