Organization
RIVERSIDE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB HUNTER (PRESIDENT)
(828) 407-7744
Entity
Organization
Contact information
Practice address
3 S MARKET ST STE 5, SELINSGROVE, PA 17870-1801
(570) 884-4417
(570) 227-0260
Mailing address
3 S MARKET ST STE 5, SELINSGROVE, PA 17870-1801
(570) 884-4417
(570) 227-0260
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
07/01/2019
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