Individual
DAVID LEE RIVENBARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3864 US HIGHWAY 80 W, PHENIX CITY, AL 36870-6526
(334) 408-6069
Mailing address
1699 MELISSA CT, AUBURN, AL 36830-6672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23780
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2022
Last updated
12/02/2024
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