Organization
RIVERSIDE REMEDIES RX CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE W BURNS PHARMD (SUPERVISING PHARMACIST)
(845) 887-3030
Entity
Organization
Contact information
Practice address
39 LOWER MAIN ST, CALLICOON, NY 12723-5000
(845) 887-3030
(845) 887-3179
Mailing address
39 LOWER MAIN ST, P.O. BOX 275, CALLICOON, NY 12723-5000
(845) 887-3030
(845) 887-3179
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033078
NYS
NY
05
—
04122661
—
NY
Enumeration date
09/23/2014
Last updated
04/10/2025
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