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NPI Code Detail

MEDICARE: DR. ALISHA RIVERA-MENENDEZ PHARMD

MEDICARE: DR. ALISHA RIVERA-MENENDEZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS58811FL

General Provider Information

NPI Number : 1245842855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISHA RIVERA-MENENDEZ PHARMD
Provider Business Mailing Address
First Line : 5205 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5205 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4911
Country : US
Telephone Number : 407-696-2242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 08/17/2020

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