Individual
MARIELYS MARIE SANTANA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4840 OUTER LOOP, LOUISVILLE, KY 40219-3302
(502) 313-6351
Mailing address
4840 OUTER LOOP, LOUISVILLE, KY 40219-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024954
KY
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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