# COUNTY OF RIVERSIDE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF RIVERSIDE
- **Other names:** RUHS-Behavior Health Inpatient Pharmacy, Riverside Mental Health Pharmacy - Inpatient
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710125638
- **Legal business name:** COUNTY OF RIVERSIDE
- **Authorized official:** DAVALYN TIDWELL (PHARMACY DIRECTOR)
- **Authorized official phone:** (951) 486-4523

## Contact information

- **Practice address:** 9990 COUNTY FARM RD, SUITE 2, RIVERSIDE, CA 92503-3542
- **Practice address phone:** (951) 486-4531
- **Practice address fax:** (951) 358-4626
- **Mailing address:** 9990 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503-3542
- **Mailing address phone:** (951) 358-4790
- **Mailing address fax:** (951) 358-4626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HPE 35875 | CA | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 05/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050292 | MEDICARE PART A & B | CA |