Individual
RODERIC JAMES RIVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5502 W 38TH ST, INDIANAPOLIS, IN 46254-2920
(317) 293-7266
Mailing address
938 N RITTER AVE, INDIANAPOLIS, IN 46219-4411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026247A
IN
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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