Riverstone Pharmacy

LBN: Riverstone Pharmacy
Riverstone Pharmacy is an health care organization with primary practice located at 101 Riverstone Vis Suite 100, Blue Ridge GA 30513-6648. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Riverstone Pharmacy can be contacted via phone (706) 258-2294, or through Petraroli, Sherry Lynn via phone (706) 258-2294.

Contact Information

Primary practice address
101 Riverstone Vis Suite 100 Blue Ridge GA 30513-6648
Phone: (706) 258-2294
Fax: (706) 258-4149
Website:
Map and Directions
Authorized official contact:
Name: Petraroli, Sherry Lynn RPH
Phone: (706) 258-2294

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008584 Georgia

Profile Details

NPI number 1710956537
LBN Legal business name Riverstone Pharmacy
DBA Doing business as
Authorized official Petraroli, Sherry Lynn RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 7th, 2023 - about 3 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 1710956537 NPPES
Georgia MEDICAID 00942719A
Georgia Other 1149500

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