| NPI | 1104252485 |
|---|---|
| Doing Business As | RIVERSIDE SAV-MOR PHARMACY #106 |
| Entity Type | Organization |
| Authorized Contact | LAURA A HADDIX President 734-776-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010186) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-11-05 |