NPI | 1457417339 |
---|---|
Doing Business As | RIVERSIDE PHARMACY & COMPOUNDING SHOP |
Entity Type | Organization |
Authorized Contact | EUNHYE PARK Pharmacist In Charge 818-985-7230 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46371) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-28 |
Last Update Date | 2017-04-28 |