Individual
GABRIEL SCOTT RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
5212 NW LIBERTY AVE, LAWTON, OK 73505-4744
(580) 483-3237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21284
OK
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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