Individual
MAXINE M RIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
116 JJJ LN, SIMMESPORT, LA 71369-2180
(318) 941-2296
Mailing address
PO BOX 378, MOREAUVILLE, LA 71355-0378
(318) 985-2998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15201
LA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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