Provider Demographics
NPI:1225654718
Name:RINIKER, COURTNEY
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:RINIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-4868
Mailing Address - Country:US
Mailing Address - Phone:319-540-1299
Mailing Address - Fax:
Practice Address - Street 1:4825 JOHNSON AVE NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4207
Practice Address - Country:US
Practice Address - Phone:319-396-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist