Organization
RIVER MEDICAL PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELVIN MONTANEZ PHARMD (COO)
(407) 830-8820
Entity
Organization
Contact information
Practice address
4752 RESEARCH DR, SAN ANTONIO, TX 78240-5002
(800) 617-1490
(844) 557-5918
Mailing address
4752 RESEARCH DR, SAN ANTONIO, TX 78240-5002
(800) 617-1490
(844) 557-5918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147093
—
TX
Enumeration date
01/16/2015
Last updated
08/19/2022
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