Optum Rx Genoa Pharmacy Workbench Pharmacy Care Services · Pilot Pharmacy
build 1790355941 sqlite · demo
JT

Prescriber record

RIVARD, SUSAN #1670

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Demographics

NPI—
DEAMR1031020
State license—
Phone / fax3605822880 / 3605822881
Address777 N. 5TH AVE, SEQUIM WA
StatusActive

Doctors.Isa

Legacy credentials and routing

Read only
Phone extension0
Refill phone—
Medicaid identifier—
Generic substitution code— Raw legacy value
Legacy eRx associationNot imported
Prescribing totalsNot imported

Prescriptions written — 3

MedicationPatientRx dateStatus
CLOZAPINE 100MG TAB 100MG
Rx 384		 DITRA, ESSUM 2006-12-15T00:00:00Z Active
CLOZAPINE 100MG TAB 100MG
Rx 100		 DITRA, ESSUM 2006-08-29T00:00:00Z Active
CLOZAPINE 100MG TAB 100MG
Rx 94		 DITRA, ESSUM 2006-08-23T00:00:00Z Active

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