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RIVERWEST PHARMACY LLC NPI 1275825929


NPI Information

NPI: 1275825929
Provider Name: RIVERWEST PHARMACY LLC

Doing Business As: RIVERWEST PHARMACY LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
165 S CURTIS AVE
KANKAKEE, IL
ZIP 60901
Phone: (815) 614-3837
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RIVERWEST PHARMACY LLC is a pharmacy in Kankakee, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RIVERWEST PHARMACY LLC NPI is 1275825929. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverwest Pharmacy Llc.

The provider's business location address is:

165 S CURTIS AVE
KANKAKEE, IL
ZIP 60901-218
Phone: (815) 614-3837
Fax: (815) 614-3317

The provider's authorized official is Nader Atieh .
The authorized official title is Pharmacist In Charge-owner and has the following contact phone number (815) 614-3837.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy054017672ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11485590OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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