Provider Demographics
NPI:1982399366
Name:RIGGENBACH, TRICIA RENEE (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:RENEE
Last Name:RIGGENBACH
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:RENEE
Other - Last Name:RENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPHT
Mailing Address - Street 1:3131 MAYHAM RD NE
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-9704
Mailing Address - Country:US
Mailing Address - Phone:330-324-2110
Mailing Address - Fax:
Practice Address - Street 1:340 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615-1348
Practice Address - Country:US
Practice Address - Phone:330-627-5229
Practice Address - Fax:330-627-3624
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09300390183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician