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NPI Code Detail

MEDICARE: DR. AMALIA RIVERA RPH

MEDICARE: DR. AMALIA 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
1183500000XPharmacistPS33799FL

General Provider Information

NPI Number : 1881622744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMALIA RIVERA RPH
Provider Business Mailing Address
First Line : 2765 W 68TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5477
Country : US
Telephone Number : 305-557-8800
Fax Number :
Provider Business Practice Location Address
First Line : 975 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3412
Country : US
Telephone Number : 305-512-9381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. AMALIA RIVERA RPH” Practice Location

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