Individual
JEFFREY WAYNE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
601 W 11TH ST, COFFEYVILLE, KS 67337-5025
(620) 251-1620
Mailing address
4570 N PENN AVE, INDEPENDENCE, KS 67301-5906
(620) 331-3565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12334
KS
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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