MEDICARE: LUZZETTE Z. RIVERA RPH

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
1	183500000X	Pharmacist	PS39298	FL

General Provider Information

NPI Number	:	1689746182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZZETTE Z. RIVERA RPH

Provider Business Mailing Address
First Line	:	36205 US HWY 27 N
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3744
Country	:	US
Telephone Number	:	863-422-7582
Fax Number	:	863-422-7583

Provider Business Practice Location Address
First Line	:	36205 US HWY 27 N
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3744
Country	:	US
Telephone Number	:	863-422-7582
Fax Number	:	863-422-7583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	05/24/2025

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