Santos Michael Rivera, PHARMD Valid NPI
Individual provider · Pharmacist · Lackland A F B, TX
- NPI
- 1295041853
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 18168 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-08-20
- Last updated
- 2010-08-20
Practice location
2200 Bergquist Dr
Lackland A F B, TX 78236-9907
(210) 292-5478