| NPI | 1013014935 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SANJAY L RAYATHATHA Member/Owner 410-742-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00296) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-03 |