Riverside Discount Pharmacy
LBN: Riverside Discount Pharmacy
Riverside Discount Pharmacy is an health care organization with primary practice located at 705 S Gordon Rd Ste A, Mableton GA 30126. 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 Discount Pharmacy can be contacted via phone (770) 732-9342, or through Muomah, Christopher via phone (770) 732-9342.
Contact Information
Primary practice address
705 S Gordon Rd Ste A
Mableton GA 30126
Phone: (770) 732-9342
Fax: (770) 732-9347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 007401 | Georgia |
Profile Details
| NPI number | 1881751154 |
|---|---|
| LBN Legal business name | Riverside Discount Pharmacy |
| DBA Doing business as | |
| Authorized official | Muomah, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 12th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881751154 | NPPES |
| Other | 1136933 | OTHER ID NUMBER | |
| MEDICAID | 00506965B | OTHER ID NUMBER | |
| Other | 1136933 | OTHER ID NUMBER |
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