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Organization
RIVERSIDE HEALTHCARE SERVICES INC
Active
Organization
RIVERSIDE HEALTHCARE SERVICES INC
Active
Other names
Riverside Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BOGGS (ADMINISTRATOR)
(757) 594-4600
Entity
Organization
Contact information
Practice address
848 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1303
(757) 594-3944
(757) 534-6308
Mailing address
PO BOX 120015, NEWPORT NEWS, VA 23612-0015
(757) 594-3944
(757) 534-6308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
VA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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