Lisa Ann Tiede-Newland, RPh
Pharmacist in Huntsburg, OH. Individual provider (NPI-1).
NPI number1295432003
StatusActive
Last updated in NPPESFeb 13, 2023
Details
- NPI
- 1295432003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Ann Tiede-Newland
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2023
- Certification date
- Feb 12, 2023
- Last updated
- Feb 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03316772 | OH | Yes |
Practice location
12466 Forest RdHuntsburg, OH 44046-9737
Phone 585-409-5883
Mailing address
12466 Forest RdHuntsburg, OH 44046-9737
Phone 585-409-5883
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