| NPI | 1275145039 |
|---|---|
| Doing Business As | RIVERSIDE VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN PHILLIPS Owner 615-650-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |