Provider Demographics
NPI:1023307097
Name:RIFFEL, ERIN L (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:RIFFEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 COURT AVE
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:IA
Mailing Address - Zip Code:52301-1439
Mailing Address - Country:US
Mailing Address - Phone:319-741-6300
Mailing Address - Fax:319-741-6311
Practice Address - Street 1:1035 COURT AVE
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IA
Practice Address - Zip Code:52301-1439
Practice Address - Country:US
Practice Address - Phone:319-741-6300
Practice Address - Fax:319-741-6311
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist