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Individual

MRS. JANE GADDIS RIVENBARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1022 HARDY RD, VINTON, VA 24179-2241
(540) 345-9851
(540) 345-3679
Mailing address
3258 WHITE OAK RD SW, ROANOKE, VA 24014-1428
(540) 904-5033

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202010047
VA

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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