| NPI | 1881819605 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARLYLE JOHNSON Pharmacist 931-536-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 5884560001) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-04-16 |