Organization
RIVERSIDE PARK PHARMACY INC
Active
Other names
RIVERSIDE PHARMACY & COMPOUNDING SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
EUNHYE PARK (PHARMACIST IN CHARGE)
(818) 985-7230
Entity
Organization
Contact information
Practice address
11655 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-1021
(818) 985-7230
(818) 985-7281
Mailing address
11655 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-1021
(818) 985-7230
(818) 985-7281
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992105
PK
—
05
—
PHA463710
—
CA
Enumeration date
12/28/2006
Last updated
04/28/2017
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