| NPI | 1932399383 |
|---|---|
| Doing Business As | SOUTH RIVER COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD BAYLOR RICE President 804-897-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004172) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-06-24 |