Individual
JULIA CARMEN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5 RIVER RD, WILTON, CT 06897-4069
(203) 834-2204
Mailing address
3550 170TH ST, FLUSHING, NY 11358-1824
(917) 385-6529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014630
CT
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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