| NPI | 1922290097 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KHALED SEDKI President & CEO 248-790-2786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA 54491) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2017-02-07 |