# RIVERDALE PHARMACY LLC

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

## Provider details

- **NPI number:** 1629823208
- **Authorized official:** TUSHAR BALAR (OWNER/ PHARMACIST)
- **Authorized official phone:** (551) 998-4909

## Contact information

- **Practice address:** 3547 JOHNSON AVE, BRONX, NY 10463-1602
- **Practice address phone:** (718) 395-3509
- **Practice address fax:** (718) 395-5695
- **Mailing address:** 3547 JOHNSON AVE, BRONX, NY 10463-1602
- **Mailing address phone:** (718) 395-3509
- **Mailing address fax:** (718) 395-5695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024