| NPI | 1083852586 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MIKE BOGGS Administrator 757-594-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: VA 0201003424) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 0201003424) |
| 333600000X Pharmacy (Licence: VA 0201003424) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2010-09-20 |