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Contact Information

RIVERSIDE PHARMACY 2 LLC
22 LARRY JOE HARLESS DRIVE
GILBERT, WV25621
 Phone: 304-664-3343
 Fax: 304-664-8307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RIVERSIDE PHARMACY 2 LLC

NPI Number 1831999804
LBN Legal business name RIVERSIDE PHARMACY 2 LLC
Authorized official SAMUEL BALLENGEE - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2025
Last updated 03/18/2025 - More than a year ago
Identifiers n/a
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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