MEDICARE: MR. WARREN F RIEGEL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	A1-0001610	DE
2	183500000X	Pharmacist	RP028163L	PA

General Provider Information

NPI Number	:	1427347046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WARREN F RIEGEL RPH

Provider Business Mailing Address
First Line	:	3784 LINK DR
Second Line	:
City	:	GARNET VALLEY
State	:	PA
Zip	:	19060-1822
Country	:	US
Telephone Number	:	610-350-7866
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 S MARYLAND AVE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-1632
Country	:	US
Telephone Number	:	302-994-3473
Fax Number	:	302-994-0171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	04/04/2011

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