Organization
RIVENDELL INC.
Active
Other names
griffith drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JACKSON ROBERSON RPH (PHARMACIST IN CHARGE)
(562) 949-1003
Entity
Organization
Contact information
Practice address
11721 TELEGRAPH RD, SUITE I, SANTA FE SPRINGS, CA 90670-3674
(562) 949-1003
Mailing address
11721 TELEGRAPH RD, SUITE I, SANTA FE SPRINGS, CA 90670-3674
(562) 949-1003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45422
CA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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