Individual
ANNA RIVKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 651-4100
Mailing address
16379 WYNNCREST FALLS WAY, WILDWOOD, MO 63005-6731
(314) 435-5515
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2015036087
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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