Ken Riverson
NPI #1528466620 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1528466620
- Entity Type
- Individual
- Name
- Ken Riverson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 5, 2014
- Last Updated
- Dec 5, 2014
Practice Location
- Address
- HWY 18 E
- Address 2
- PHS INDIAN HEALTH HOSPITAL
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770-1201
- Phone
- (605) 867-3192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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