| NPI | 1457686602 |
|---|---|
| Doing Business As | RIVERDALE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIGNESH PATEL Manager 239-362-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24294) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-02-02 |