Organization
RIVERSIDE PROF. DRUG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH HADDIX JR. R.PH. (PHARMACIST/OWNER)
(734) 676-3784
Entity
Organization
Contact information
Practice address
2801 W JEFFERSON AVE, TRENTON, MI 48183-2901
(734) 676-3784
(734) 676-3793
Mailing address
2801 W JEFFERSON AVE, TRENTON, MI 48183-2901
(734) 676-3784
(734) 676-3793
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301003409
MI
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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