| NPI | 1285945386 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MONALISA J PANSURIA Pharmacy Manager 813-579-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |