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Organization
RIVERVIEW PHARMACIES INC
Active
Organization
RIVERVIEW PHARMACIES INC
Active
Other names
RIVERVIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HALL (MANAGER)
(815) 933-1735
Entity
Organization
Contact information
Practice address
475 BROWN BLVD, SUITE 105, BOURBONNAIS, IL 60914-2325
(815) 933-1735
(815) 933-3370
Mailing address
475 BROWN BLVD, SUITE 105, BOURBONNAIS, IL 60914-2325
(815) 933-1735
(815) 933-3370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054006576
IL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022525
PK
—
05
—
3622974344001
—
IL
Enumeration date
08/20/2006
Last updated
06/09/2022
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