| NPI | 1922495563 |
|---|---|
| Doing Business As | RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN K DHULIPALLA Manager 201-270-8013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT pcy0002311) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2017-02-10 |