Riverside Pharmacy Inc
LBN: Riverside Pharmacy Inc
Riverside Pharmacy Inc is an health care organization with primary practice located at 935 Green St Nw , Gainesville GA 30501-3325. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Riverside Pharmacy Inc can be contacted via phone (770) 532-6203, or through Barton, Scottie via phone (770) 532-6253.
Contact Information
Primary practice address
935 Green St Nw
Gainesville GA 30501-3325
Phone: (770) 532-6203
Fax: (770) 532-3692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006669 | Georgia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1336218288 |
|---|---|
| LBN Legal business name | Riverside Pharmacy Inc |
| DBA Doing business as | Riverside Pharmacy Inc |
| Authorized official | Barton, Scottie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Sep 1st, 2016 - about 8 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 | 1336218288 | NPPES |
| Other | 2127695 | PK | |
| MEDICAID | 000035109A | PK |
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