| NPI | 1508315128 |
|---|---|
| Doing Business As | RIVER'S EDGE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HANY SAMUEL BENJAMIN CEO 949-292-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA 51942) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: CA 51942) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA 51942) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2017-12-21 |