| NPI | 1053041061 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY CHESAPEAKE |
| Entity Type | Organization |
| Authorized Contact | WALTER W AUSTIN Exec VP, CFO 757-875-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-02-17 |