Provider Demographics
NPI:1851512701
Name:RIEGER-MCCOMBIE, ADELE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:MARIE
Last Name:RIEGER-MCCOMBIE
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:PO BOX 153
Mailing Address - Street 2:157 CROOKED ST
Mailing Address - City:WILMORE
Mailing Address - State:PA
Mailing Address - Zip Code:15962-0153
Mailing Address - Country:US
Mailing Address - Phone:814-244-2150
Mailing Address - Fax:
Practice Address - Street 1:1086 FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905
Practice Address - Country:US
Practice Address - Phone:814-534-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist