RIVERSIDE PHARMACY INC
935 Green St Nw
Gainesville, GA 30501
770-532-6203
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers - Pharmacy - Long Term Care Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | GA | PHRE006669 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000035109A | GA | MEDICAID | |
PK | 2127695 | OTHER |