| Doctor Name: | MRS. GLORIA RIVERS |
| NPI Number: | 1073969432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPHT |
| License Number: | 21674 |
| Business Practice Address: | 1661 Eider Down Dr. Summerville, SC - 29415 |
| Business Phone Number: | 8436957295 |
| Business Fax Number: | |
| Mailing Address: | Po Box 72373, NORTH CHARLESTON |
| State: | SC |
| Postal Code: | 294152373 |
| Phone Number: | 8436957295 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2016 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 21674 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy 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. |