Individual
CHARISSE MAY C. VIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5342 DUDLEY BLVD, VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM 119/MCC, MCCLELLAN, CA 95652-1012
(916) 561-7422
Mailing address
4385 WEATHERVANE WAY, ROSEVILLE, CA 95747-4207
(415) 990-5951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
66500
CA
183500000X
Pharmacist
Primary
S018777
AZ
Other
Enumeration date
09/06/2011
Last updated
02/27/2014
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