Riverside Specialty Pharmacy

LBN: Riverside Medical Center
Riverside Specialty Pharmacy is an health care organization with primary practice located at 100 Fitness Dr , Bourbonnais IL 60914-9584. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Riverside Medical Center can be contacted via phone (815) 634-5225, or through Vilt, Patricia Kim via phone (815) 450-7754.

Contact Information

Primary practice address
100 Fitness Dr Bourbonnais IL 60914-9584
Fax: (779) 701-2280
Website:
Authorized official contact:
Name: Vilt, Patricia Kim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1447963061
LBN Legal business name Riverside Medical Center
DBA Doing business as Riverside Specialty Pharmacy
Authorized official Vilt, Patricia Kim
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2022
Last updated Dec 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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