# RIVERWOOD PHARMACY LLC

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

## Provider details

- **NPI number:** 1396177986
- **Authorized official:** BILL COCKRELL (PHARMACY MANAGER)
- **Authorized official phone:** (205) 208-0012

## Contact information

- **Practice address:** 100 RICE MINE ROAD, SUITE B, TUSCALOOSA, AL 35406
- **Practice address phone:** (205) 469-2270
- **Practice address fax:** (205) 469-2269
- **Mailing address:** 100 RICE MINE ROAD, SUITE B, TUSCALOOSA, AL 35406
- **Mailing address phone:** (205) 469-2270
- **Mailing address fax:** (205) 469-2269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 114169 | AL | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 12/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2141622 | PK | — |