Organization
RIVERSIDE HEALTHCARE SERVICES INC
Active
Other names
Riverside Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BOGGS (ADMINISTRATOR)
(757) 594-4600
Entity
Organization
Contact information
Practice address
848 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1303
(757) 594-3944
(757) 534-6308
Mailing address
PO BOX 120015, NEWPORT NEWS, VA 23612-0015
(757) 594-3944
(757) 534-6308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
VA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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