Individual
EDGAR RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 S HAMPTON RD, DALLAS, TX 75208-5618
(214) 331-0169
Mailing address
315 S HAMPTON RD, DALLAS, TX 75208-5618
(214) 331-0169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69209
TX
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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