Organization
RIVERS PHARMACY INC
Active
Other names
RIVERS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RIVERS (PRESIDENT)
(803) 266-7010
Entity
Organization
Contact information
Practice address
12927 MAIN ST, WILLISTON, SC 29853-2321
(803) 266-7010
(803) 266-3370
Mailing address
12927 MAIN ST, WILLISTON, SC 29853-2321
(803) 266-7010
(803) 266-3370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50003060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4219057
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
730604
—
SC
Enumeration date
06/21/2006
Last updated
06/25/2012
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