Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN DOUGLAS TIEDEMAN, RPH
Active Sole ProprietorRYAN DOUGLAS TIEDEMAN, RPH is a Pharmacist healthcare provider located in BONNEY LAKE, Washington. NPI 1841400777 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1841400777
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.200875546616 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PH00021344 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20901 STATE ROUTE 410 EBONNEY LAKE, WA, 983916302Browse WA providers · Browse ZIP 98391
- Phone
- 2538917333
- Fax
- 2538917327
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BONNEY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| AMIT TIWARI | MS RPH | 1508989781 |
| MRS. NISHY KAUR HAYRE | — | 1487818688 |
| GARY MICHAEL LAGERSTROM | PHARM D | 1407004385 |
| PETER RANDOLF JONES | RPH | 1063727113 |
| MR. DMITRIY VALERYEVICH KURKOV | PHARM.D | 1043510944 |
| MR. CHRISTINA LYNN CLARK | RPH | 1265733489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.