NPI | 1386106680 |
---|---|
Former Legal Business Name | SUSQUEHANNA COMMUNITY HEALTH & DENTAL CLINIC, INC. |
Doing Business As | RIVER VALLEY PHARMACY |
Entity Type | Organization |
Authorized Contact | MAX HOUSEKNECHT President & CEO 570-567-5412 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-09-23 |