IndividualActive
Selena De La Riva, TECHNICIAN
NPI 1376128538 · Pharmacy Technician · Broadview, IL
Provider details
- NPI number
- 1376128538
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- TECHNICIAN
- Sex
- Female
- Sole proprietor
- No
- License
- 049279949 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1600 W Roosevelt Rd
Broadview, IL 60155-4024
Phone: (708) 343-5323
Approximate (ZIP-level) locationGet directions
Mailing address
1600 W Roosevelt Rd
Broadview, IL 60155-4024
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.