Individual
BRANDON GEORGE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 N ALABAMA RD, WHARTON, TX 77488-3204
(979) 282-2883
Mailing address
1616 N ALABAMA RD, WHARTON, TX 77488-3204
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
278022
TX
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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