MRS. Mallory F Rivera, RPH

NPI #1326311549 in Canton, Ohio

Provider Information

NPI Number: 1326311549
Entity Type: Individual
Name: MRS. Mallory F Rivera, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 18, 2012
Last Updated: Feb 18, 2012

Practice Location

Address: 5122 TUSCARAWAS ST W
City: Canton
State: Ohio
ZIP Code: 44708-5016
Phone: (330) 478-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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