Organization
RANDAL RIVERSIDE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAFUL D PATEL (OFFICER)
(817) 557-3900
Entity
Organization
Contact information
Practice address
3360 MATLOCK RD, ARLINGTON, TX 76015-2907
(817) 557-3900
Mailing address
3360 MATLOCK RD, ARLINGTON, TX 76015-2907
(817) 557-3900
(817) 557-3903
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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