Riverside Pharmacy

LBN: Riverside Pharmacy Llc
Riverside Pharmacy is an health care organization with primary practice located at 540 Riverside Dr , Salisbury MD 21801-5352. 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 Pharmacy Llc can be contacted via phone (410) 742-1188, or through Rayathatha, Sanjay L via phone (410) 742-1188.

Contact Information

Primary practice address
540 Riverside Dr Salisbury MD 21801-5352
Phone: (410) 742-1188
Fax: (410) 742-3408
Website:
Map and Directions
Authorized official contact:
Name: Rayathatha, Sanjay L
Phone: (410) 742-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P00296 Maryland

Profile Details

NPI number 1013014935
LBN Legal business name Riverside Pharmacy Llc
DBA Doing business as Riverside Pharmacy
Authorized official Rayathatha, Sanjay L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 3rd, 2020 - about 5 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 1013014935 NPPES
Other 2032824 PK
MEDICAID 473628100 PK
MEDICAID 040752600 PK

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