Organization
RIVERSIDE RX PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIWON AN (PRESIDENT)
(212) 256-0488
Entity
Organization
Contact information
Practice address
3527 BROADWAY, NEW YORK, NY 10031-5627
(212) 256-0488
Mailing address
3527 BROADWAY, NEW YORK, NY 10031-5627
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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