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Contact Information

RIVER MEDICAL PHARMACY, LLC
4752 RESEARCH DR
SAN ANTONIO, TX78240-5002
 Phone: 800-617-1490
 Fax: 844-557-5918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RIVER MEDICAL PHARMACY, LLC

NPI Number 1114316940
LBN Legal business name RIVER MEDICAL PHARMACY, LLC
Authorized official ELVIN MONTANEZ - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2015
Last updated 08/19/2022 - About 4 years ago
Identifiers
TX Medicaid 147093
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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