Charisse May C. Vivar, PHARM.D.

NPI #1306127261 in Mcclellan, California

Provider Information

NPI Number: 1306127261
Entity Type: Individual
Name: Charisse May C. Vivar, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Sep 6, 2011
Last Updated: Feb 27, 2014

Practice Location

Address: 5342 DUDLEY BLVD
Address 2: VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM 119/MCC
City: Mcclellan
State: California
ZIP Code: 95652-1012
Phone: (916) 561-7422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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