Riverside Mot Pharmacy Inc

LBN: Riverside Mot Pharmacy Inc
Riverside Mot Pharmacy Inc is an health care organization with primary practice located at 935-B Green St , Gainesville GA 30501. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Riverside Mot Pharmacy Inc can be contacted via phone (770) 532-6253, or through Barton, Scottie via phone (770) 532-6253.

Contact Information

Primary practice address
935-B Green St Gainesville GA 30501
Phone: (770) 532-6253
Fax: (770) 532-3692
Website:
Map and Directions
Authorized official contact:
Name: Barton, Scottie
Phone: (770) 532-6253

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 008828 Georgia

Profile Details

NPI number 1982761706
LBN Legal business name Riverside Mot Pharmacy Inc
DBA Doing business as Riverside Mot Pharmacy Inc
Authorized official Barton, Scottie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Sep 24th, 2015 - about 11 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 1982761706 NPPES
Georgia MEDICAID 609612415A
Georgia Other 2015567

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