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RIVERSIDE PHARMACY INC

Medical Equipment Supplier Yellow Pages

Gainesville, Georgia

Provider NPI: 1336218288

Organization Information:
Organization Name:  RIVERSIDE PHARMACY INC


Practice Location:
935 GREEN ST NW  GAINESVILLE, GA 30501 US
Tel: 770-532-6203  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
GAPHRE006669

Other Provider Identifiers:

IssuerNumberStateType
000035109AGA05
PK212769501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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