STACEY M RIVERA

VANCOUVER, WA
NPI1598634917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  10838)
Enumeration Date2025-11-03
Last Update Date2025-11-03
Business Address
STACEY M RIVERA PharmD
1115 SE 164TH AVE
VANCOUVER, WA 98683-9324
Phone number: 503-367-0402
Mailing Address
STACEY M RIVERA PharmD
19730 SPRING RIDGE DR
WEST LINN, OR 97068-4821
Phone number: