Organization
RIVERBANK PHARMACY INC
Active
Organization
RIVERBANK PHARMACY INC
Active
Other names
Riverbank Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY YONG (PRESIDENT)
(209) 863-9988
Entity
Organization
Contact information
Practice address
2603 PATTERSON RD STE 9, RIVERBANK, CA 95367-3407
(209) 863-9988
(209) 863-1212
Mailing address
8801 OAK VIEW CT, OAKDALE, CA 95361-9240
(209) 848-1688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133757
PK
—
Enumeration date
02/07/2012
Last updated
07/08/2016
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