| NPI | 1336218288 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SCOTTIE BARTON Owner 770-532-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006669) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-09-01 |