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1043594633
IVAN RIVERA-VARGAS
SAINT LOUIS, MO
NPI
1043594633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2003017168)
Enumeration Date
2011-10-01
Last Update Date
2011-10-01
Business Address
Dr. IVAN RIVERA-VARGAS Pharm.D.
5764 S LINDBERGH BLVD
SAINT LOUIS, MO 63123-6937
Phone number: 314-842-3340
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Mailing Address
Dr. IVAN RIVERA-VARGAS Pharm.D.
5764 S. LINDBERGH
ST. LOUIS, MO 63123
Phone number: 314-842-3340
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