MIGUEL RIVERA

FORT WAYNE, IN
NPI1699519793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: IN  26030725A)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX  71369)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
MIGUEL RIVERA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
Mailing Address
MIGUEL RIVERA
490 BONTERRA BLVD APT 10-202
FORT WAYNE, IN 46845-0067
Phone number: 915-497-1855