| NPI | 1326806969 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SANJAY L RAYATHATHA Member 410-948-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |