Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA MODESTA RIVERA (PHARMACIST)
(562) 208-1115
Entity
Organization
Contact information
Practice address
11358 CUTTYHUNK CT, CYPRESS, CA 90630-5439
(562) 208-1115
Mailing address
1387 W WHITTIER BLVD, LA HABRA, CA 90631-3612
(562) 691-1721
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
35189
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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