Healthcare Provider Details

I. General information

NPI: 1346329448
Provider Name (Legal Business Name): CHRISTIAN VINCENT RIFFERT PHARM.D., RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W BROWN ST
BEAVERTON MI
48612-8119
US

IV. Provider business mailing address

3570 E HURLEY RD
MIDLAND MI
48642-9727
US

V. Phone/Fax

Practice location:
  • Phone: 989-435-7778
  • Fax: 989-435-2581
Mailing address:
  • Phone: 989-839-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302034368
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: