| NPI | 1205328671 |
|---|---|
| Doing Business As | RIVERSIDE RX INC |
| Entity Type | Organization |
| Authorized Contact | MARK ISAKOV President 718-884-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036561) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-07-19 |