Riverside Pharmacy & Compounding Shop
LBN: Riverside Park Pharmacy Inc
Riverside Pharmacy & Compounding Shop is an health care organization with primary practice located at 11655 Riverside Dr , North Hollywood CA 91602-1021. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Riverside Park Pharmacy Inc can be contacted via phone (818) 985-7230, or through Park, Eunhye via phone (818) 985-7230.
Contact Information
Primary practice address
11655 Riverside Dr
North Hollywood CA 91602-1021
Phone: (818) 985-7230
Fax: (818) 985-7281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46371 | California |
Profile Details
| NPI number | 1457417339 |
|---|---|
| LBN Legal business name | Riverside Park Pharmacy Inc |
| DBA Doing business as | Riverside Pharmacy & Compounding Shop |
| Authorized official | Park, Eunhye |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Apr 28th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457417339 | NPPES |
| California | MEDICAID | PHA463710 | |
| California | Other | 1992105 |
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