Provider Demographics
NPI:1588791016
Name:KRIEGER, G. RICHARD (RPH)
Entity type:Individual
Prefix:MR
First Name:G.
Middle Name:RICHARD
Last Name:KRIEGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33644 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2761
Mailing Address - Country:US
Mailing Address - Phone:734-427-0865
Mailing Address - Fax:
Practice Address - Street 1:33644 WOOD ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-2761
Practice Address - Country:US
Practice Address - Phone:734-427-0865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI18467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist