Jonathan Rivers
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Woodstock, GA. Individual provider (NPI-1).
NPI number1164052460
StatusActive
Last updated in NPPESJan 25, 2020
Details
- NPI
- 1164052460
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Rivers
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2020
- Certification date
- Jan 25, 2020
- Last updated
- Jan 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | rph023688 | GA | Yes |
Practice location
2295 Towne Lake PkwyWoodstock, GA 30189-5520
Phone 770-517-2088
Mailing address
607 Knights Bridge DrCanton, GA 30115-5215
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