Healthcare Provider Details

I. General information

NPI: 1548177587
Provider Name (Legal Business Name): TAYLOR RIEDINGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 COON RAPIDS BLVD NW
COON RAPIDS MN
55433-2522
US

IV. Provider business mailing address

3917 HIGH CREEK RD
BISMARCK ND
58503-0285
US

V. Phone/Fax

Practice location:
  • Phone: 763-236-6000
  • Fax:
Mailing address:
  • Phone: 701-471-6408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH6755
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number127404
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: