Individual
JENNIFER ALISHA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 334-5586
(210) 358-6800
Mailing address
515 DIAMOND FLS, SAN ANTONIO, TX 78251-4183
(210) 334-5586
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
65259
TX
1835P2201X
Ambulatory Care Pharmacist
65259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/16/2021
Last updated
12/17/2021
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