Bradley R. Riesch, RPH

Pharmacist · Baraboo, WI

Individual Active NPI

NPI number 1487997250

Practice location

707 14TH St
Pharmacy
Baraboo, WI 53913-1539
Phone
(608) 356-1453

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NPI record

NPI
1487997250
Entity type
Individual (Type 1)
Enumeration date
March 31, 2013
Last updated
March 31, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 10547-40 WI
Pharmacist 183500000X S017011 AZ

About Bradley Riesch

Bradley R. Riesch, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 707 14TH St, Pharmacy, Baraboo, WI 53913-1539. The NPI number 1487997250 was assigned on March 31, 2013 and the record was last updated on March 31, 2013.

Bradley Riesch lists 2 licenses in the registry: #10547-40 (WI) for Pharmacist; #S017011 (AZ) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley R. Riesch, RPH?

The NPI number is 1487997250.

What is the phone number of Bradley Riesch?

The phone number listed for the practice location is (608) 356-1453.

Where is Bradley Riesch located?

707 14TH St, Pharmacy, Baraboo, WI 53913-1539.

What is the taxonomy code for Bradley Riesch?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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