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Organization
RIVEON MENTAL HEALTH AND RECOVERY
Active
Organization
RIVEON MENTAL HEALTH AND RECOVERY
Active
Other names
Riveon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MCDONALD PHARMD, RPH (DIRECTOR OF PHARMACY)
(440) 204-4307
Entity
Organization
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4307
(440) 204-4307
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4307
(440) 204-4307
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
RTP.022397550-03
OH
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111910
—
OH
Enumeration date
10/10/2014
Last updated
09/17/2024
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