Healthcare Provider Details

I. General information

NPI: 1861324378
Provider Name (Legal Business Name): RILEY HALL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W180N8085 TOWN HALL RD
MENOMONEE FALLS WI
53051-3518
US

IV. Provider business mailing address

2630 W CHESTNUT RD
MEQUON WI
53092-3112
US

V. Phone/Fax

Practice location:
  • Phone: 262-251-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23101-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: