Rivendell Inc.
NPI #1487860771 in Santa Fe Springs, California
Provider Information
- NPI Number
- 1487860771
- Entity Type
- Organization
- Organization Name
- Rivendell Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11721 TELEGRAPH RD
- Address 2
- SUITE I
- City
- Santa Fe Springs
- State
- California
- ZIP Code
- 90670-3674
- Phone
- (562) 949-1003
Authorized Official
- Name
- MR. THOMAS JACKSON ROBERSON, RPH
- Title
- PHARMACIST IN CHARGE
- Phone
- (562) 949-1003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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