Healthcare Provider Details

I. General information

NPI: 1144698911
Provider Name (Legal Business Name): TYLER EVAN RIEMENSCHNEIDER R.PH., PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 CLEVELAND AVE NW
NORTH CANTON OH
44720-5658
US

IV. Provider business mailing address

411 9TH ST NW
NORTH CANTON OH
44720-1907
US

V. Phone/Fax

Practice location:
  • Phone: 330-499-3448
  • Fax:
Mailing address:
  • Phone: 330-685-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03233307
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: