NPI | 1215014188 |
---|---|
Doing Business As | RIDER DRUG INC |
Entity Type | Organization |
Authorized Contact | CRAIG HARRIS Owner Phcst 660-665-4666 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004254) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2022-12-05 |