Organization
RIVERBEND PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COX (DIRECTOR OF PHARMACY)
(662) 315-6169
Entity
Organization
Contact information
Practice address
4 RIVER BEND PL STE 115, FLOWOOD, MS 39232-9710
(662) 315-6169
(662) 315-6169
Mailing address
4 RIVER BEND PL STE 115, FLOWOOD, MS 39232-9710
(662) 315-6169
(662) 315-6169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15117/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168058
PK
—
Enumeration date
02/04/2017
Last updated
03/06/2017
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