| NPI | 1447458542 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARLYLE JOHNSON Owner Pharmacist 931-536-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-06-16 |