Dayne Vivar

NPI #1184994055 in West Sacramento, California

Provider Information

NPI Number: 1184994055
Entity Type: Individual
Name: Dayne Vivar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 2005 TOWN CENTER PLZ
Address 2: T2268
City: West Sacramento
State: California
ZIP Code: 95691-4957
Phone: (916) 384-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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