Organization
SWASTIK RX LLC
Active
Other names
Riverside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONALISA J PANSURIA PHARM D (PHARMACY MANAGER)
(813) 579-5344
Entity
Organization
Contact information
Practice address
2110 MANATEE AVE E, BRADENTON, FL 34208-1660
(813) 579-5344
Mailing address
2110 MANATEE AVE E, BRADENTON, FL 34208-1660
(813) 579-5344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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