COREY DAVID RIDGE

LA VISTA, NE
NPI1992322416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NH  16774)
Enumeration Date2020-06-30
Last Update Date2020-06-30
Business Address
DR. COREY DAVID RIDGE PHARMD
8380 HARRISON ST
LA VISTA, NE 68128-2918
Phone number: 402-592-7970
Mailing Address
DR. COREY DAVID RIDGE PHARMD
5949 CLEARWATER DR
FORT CALHOUN, NE 68023-5060
Phone number: