Individual
MIRIAM RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
115 W LITTLE CREEK RD, NORFOLK, VA 23505-2512
(757) 489-5291
Mailing address
6205 SUNNYSIDE DR, VIRGINIA BEACH, VA 23464-1927
(757) 420-1908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206370
VA
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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