| NPI | 1326174103 |
|---|---|
| Other Name | RIVERSIDE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT A THORNTON Pharmacy Manager 302-428-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: DE A6-0000248) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |