| NPI | 1093075145 |
|---|---|
| Doing Business As | RIVER STREET PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JASON HOCHBERG Owner 802-775-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 038.0087228) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2017-02-16 |