Organization
RIVERTOWN PHARMACY INC
Active
Other names
Rivertown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE TODD RPH (PHARMACIST)
(843) 488-4400
Entity
Organization
Contact information
Practice address
2000 MAIN ST, CONWAY, SC 29526-3335
(843) 488-4400
(800) 881-4793
Mailing address
2000 MAIN ST, CONWAY, SC 29526-3335
(843) 488-4400
(800) 881-4793
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14323
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123572
PK
—
05
—
710789
—
SC
Enumeration date
01/10/2010
Last updated
02/03/2025
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