MRS. Lisa Marie Rivera, RPH, CDE

NPI #1811352784 in Mansfield, Texas

Provider Information

NPI Number: 1811352784
Entity Type: Individual
Name: MRS. Lisa Marie Rivera, RPH, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH, CDE
Enumeration Date: Dec 20, 2015
Last Updated: Dec 20, 2015

Practice Location

Address: 1600 MALLARD CIR
City: Mansfield
State: Texas
ZIP Code: 76063-4082
Phone: (817) 269-7914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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