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Selena De La Riva, TECHNICIAN
Pharmacy Technician in Broadview, Illinois
NPI 1376128538

Selena De La Riva is a Pharmacy Technician based in Broadview, IL. Selena De La Riva practices in Broadview, IL and has the professional credentials of TECHNICIAN. The NPI Number for Selena De La Riva is 1376128538 and holds a License No. 049279949 (Illinois).

The current practice location address for Selena De La Riva is 1600 W Roosevelt Rd, Broadview, IL and can be reached out via phone at 708-343-5323.

Location: 1600 W Roosevelt Rd, Broadview, IL, 60155-4024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376128538
Provider Name
Selena De La Riva
Credential
TECHNICIAN
Provider Entity Type
Individual
Gender
Female
Address
1600 W Roosevelt Rd, Broadview, IL, 60155-4024
Phone Number
708-343-5323
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Roosevelt Rd
City
Broadview
State
Illinois
Zip
60155-4024
Phone Number
708-343-5323
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Roosevelt Rd
City
Broadview
State
Illinois
Zip
60155-4024
Phone Number
708-343-5323
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
049279949 (Illinois)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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