Provider Demographics
NPI:1336209378
Name:RIDING, DANIEL (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:RIDING
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 W 1200 N
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4924
Mailing Address - Country:US
Mailing Address - Phone:435-773-2357
Mailing Address - Fax:
Practice Address - Street 1:2376 RED CLIFFS DR STE 377
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8367
Practice Address - Country:US
Practice Address - Phone:435-255-7160
Practice Address - Fax:435-255-7202
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006904183500000X
PARP4410241835P1200X
UT6591909-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy