National Provider Identifier

Riley Dethier, PHARMD

Riley Dethier, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Le Roy, NY and a listed phone number of (585) 768-2300.

NPI 1942755731Le Roy, NYPharmacist

Profile Overview

NPI
1942755731
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
August 22, 2016
Last Updated
August 22, 2016

Practice Location

  • 151 W Main St
  • Le Roy, NY 14482-1317

Phone: (585) 768-2300

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1942755731
Entity Type
Individual
Last Name
Dethier
First Name
Riley
Credential
PHARMD
Mailing Street Address
151 W Main St
Mailing City
Le Roy
Mailing State
NY
Mailing ZIP Code
14482-1317
Mailing Country
US
Mailing Phone
(585) 768-2300
Mailing Fax
(585) 768-0818
Practice Street Address
151 W Main St
Practice City
Le Roy
Practice State
NY
Practice ZIP Code
14482-1317
Practice Country
US
Practice Phone
(585) 768-2300
Practice Fax
(585) 768-0818
Enumeration Date
August 22, 2016
Last Updated
August 22, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
061513 (NY, Nys License)