Organization
RIVERWOOD PHARMACY LLC
Active
Other names
Riverwood Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BILL COCKRELL (PHARMACY MANAGER)
(205) 208-0012
Entity
Organization
Contact information
Practice address
100 RICE MINE ROAD, SUITE B, TUSCALOOSA, AL 35406
(205) 469-2270
(205) 469-2269
Mailing address
100 RICE MINE ROAD, SUITE B, TUSCALOOSA, AL 35406
(205) 469-2270
(205) 469-2269
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114169
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141622
PK
—
Enumeration date
08/06/2013
Last updated
12/19/2014
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