# RIVERVIEW PHARMACIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RIVERVIEW PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588779516
- **Authorized official:** JOHN HALL (MANAGER)
- **Authorized official phone:** (815) 933-1735

## Contact information

- **Practice address:** 475 BROWN BLVD, SUITE 105, BOURBONNAIS, IL 60914-2325
- **Practice address phone:** (815) 933-1735
- **Practice address fax:** (815) 933-3370
- **Mailing address:** 475 BROWN BLVD, SUITE 105, BOURBONNAIS, IL 60914-2325
- **Mailing address phone:** (815) 933-1735
- **Mailing address fax:** (815) 933-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054006576 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 06/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2022525 | PK | — |
| 05 | — | 3622974344001 | — | IL |