Rivertown Pharmacy

LBN: Rivertown Pharmacy Inc
Rivertown Pharmacy is an health care organization with primary practice located at 2219 Main St , Conway SC 29526-3340. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Rivertown Pharmacy Inc can be contacted via phone (843) 488-4400, or through Todd, Leslie via phone (843) 488-4400.

Contact Information

Primary practice address
2219 Main St Conway SC 29526-3340
Phone: (843) 488-4400
Fax: (843) 488-4401
Website:
Map and Directions
Authorized official contact:
Name: Todd, Leslie RPH
Phone: (843) 488-4400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 14323 South Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1902136260
LBN Legal business name Rivertown Pharmacy Inc
DBA Doing business as Rivertown Pharmacy
Authorized official Todd, Leslie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2010
Last updated Mar 25th, 2014 - about 10 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 1902136260 NPPES
Other 2123572 PK
MEDICAID 710789 PK

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