Individual
DR. ZACCHARY JOZEF RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4051 SOUTHERN BLVD SE # 2, RIO RANCHO, NM 87124-2069
(505) 892-6690
Mailing address
4051 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2069
(505) 892-6690
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00009732
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RP00009732
—
NM
Enumeration date
09/05/2022
Last updated
09/05/2022
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