| NPI | 1083926034 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MIKE BOGGS Administrator 757-594-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |