Individual
CORY RICH PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6075 MAGNOLIA AVE, RIVERSIDE, CA 92506-2525
(951) 682-0177
(951) 682-2498
Mailing address
6075 MAGNOLIA AVE, RIVERSIDE, CA 92506-2525
(951) 682-0177
(951) 682-2498
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
150394
CA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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