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Contact Information

COUNTY OF RIVERSIDE
9990 COUNTY FARM RD
SUITE 2
RIVERSIDE, CA92503-3542
 Phone: 951-486-4531
 Fax: 951-358-4626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COUNTY OF RIVERSIDE

NPI # 1710125638
LBN Legal business name COUNTY OF RIVERSIDE
Authorized official DAVALYN TIDWELL - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/30/2009
Last updated 05/05/2026 - About a month ago
Identifiers
CA License # HPE 35875
CA Other 050292 MEDICARE PART A & B
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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