| NPI | 1275825929 |
|---|---|
| Doing Business As | RIVERWEST PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | NADER ATIEH Pharmacist In Charge Owner 815-614-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054017672) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-25 |