| NPI | 1629823208 |
|---|---|
| Doing Business As | RIVERDALE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TUSHAR BALAR Owner/ Pharmacist 551-998-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |