| NPI | 1831999804 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | SAMUEL RANDOLPH BALLENGEE Pharmacist 304-664-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |