Organization
RILEYS DRUGS INC
Active
Other names
RILEYS DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA VINING BS PHARM (PIC)
(803) 359-2587
Entity
Organization
Contact information
Practice address
1207 W MAIN ST, LEXINGTON, SC 29072-2405
(803) 359-2587
(803) 359-2588
Mailing address
1207 W MAIN ST, LEXINGTON, SC 29072-2405
(803) 359-2587
(803) 359-2588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1708
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089723
PK
—
05
—
717083
—
SC
Enumeration date
03/23/2006
Last updated
05/14/2024
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