# RIVERSIDE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326806969
- **Authorized official:** SANJAY L RAYATHATHA PHARMACIST (MEMBER)
- **Authorized official phone:** (410) 948-0554

## Contact information

- **Practice address:** 540 RIVERSIDE DR STE 1, SALISBURY, MD 21801-5375
- **Practice address phone:** (410) 742-1188
- **Practice address fax:** (410) 742-3408
- **Mailing address:** 540 RIVERSIDE DR STE 1, SALISBURY, MD 21801-5375
- **Mailing address phone:** (410) 742-1188
- **Mailing address fax:** (410) 742-3408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 03/08/2024