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
Fax: (770) 532-3692
Website:
Authorized official contact:
Name: Barton, Scottie

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336218288 NPPES
Other 2127695 PK
MEDICAID 000035109A PK

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