Individual
BRIAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2521 MAIN ST, VANCOUVER, WA 98660-2649
(360) 693-2524
Mailing address
10215 NE 102ND ST, VANCOUVER, WA 98662-3367
(808) 392-6861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60388782
WA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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