| NPI | 1689823486 |
|---|---|
| Doing Business As | RIVER'S EDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HANY BENJAMIN CEO 760-340-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY49157) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2017-12-21 |