Individual
JONATHAN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5520
(770) 517-2088
Mailing address
607 KNIGHTS BRIDGE DR, CANTON, GA 30115-5215
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH023688
GA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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