Individual
CRYSTAL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
51 MISSOURI AVE N, LARGO, FL 33770-3761
(727) 518-2951
Mailing address
51 MISSOURI AVE N, LARGO, FL 33770-3761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
FL
Enumeration date
11/19/2020
Last updated
11/19/2020
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