| NPI | 1922356708 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OMAR ESPERICUETA Owner/President 956-638-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28094) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-03-26 |