Healthcare Provider Details

I. General information

NPI: 1427347046
Provider Name (Legal Business Name): WARREN F RIEGEL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 S MARYLAND AVE
WILMINGTON DE
19804-1632
US

IV. Provider business mailing address

3784 LINK DR
GARNET VALLEY PA
19060-1822
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-3473
  • Fax: 302-994-0171
Mailing address:
  • Phone: 610-350-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0001610
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP028163L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: