| NPI | 1760261044 |
|---|---|
| Doing Business As | RIVER VALLEY HEALTH - FIFTH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PARINDA KHATRI CEO 865-544-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2025-07-10 |