Provider Demographics
NPI:1538446521
Name:RIZOR, NANCY ALICE (RPH)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ALICE
Last Name:RIZOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 FAIRVIEW PL
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2229
Mailing Address - Country:US
Mailing Address - Phone:818-707-0766
Mailing Address - Fax:
Practice Address - Street 1:618 MICHILLINDA AVE
Practice Address - Street 2:VONS COMPANY
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6300
Practice Address - Country:US
Practice Address - Phone:818-429-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist