Organization
T AND P PHARMACY
Active
Other names
RIVERSTONE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PURVIS RPH (OWNER)
(706) 635-7931
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, SUITE 107, BLUE RIDGE, GA 30513-6648
(706) 258-4157
(706) 258-4158
Mailing address
101 RIVERSTONE VISTA, SUITE 107, BLUE RIDGE, GA 30513-6648
(706) 258-4157
(706) 258-4158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010204
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171664A
—
GA
01
—
2157222
PK
—
Enumeration date
12/21/2015
Last updated
09/19/2025
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