Provider Demographics
NPI:1710474804
Name:RIEG, LISA HAMMER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:HAMMER
Last Name:RIEG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:MICHELLE
Other - Last Name:HAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2200 RIVER PLAZA DR FL 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-4134
Mailing Address - Country:US
Mailing Address - Phone:916-286-6930
Mailing Address - Fax:
Practice Address - Street 1:2200 RIVER PLAZA DR
Practice Address - Street 2:FORMULARY MANAGEMENT AND CLINICAL PHARMACY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833
Practice Address - Country:US
Practice Address - Phone:916-286-6930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402911835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist