| NPI | 1467459545 |
|---|---|
| Doing Business As | RIDER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN RIDER Owner 304-366-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV AR5100792) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-06-07 |