Provider First Line Business Practice Location Address:
RIVERSIDE COMMUNITY PHARMACY, INC.
Provider Second Line Business Practice Location Address:
1456 NW 17TH AVE
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-549-6677
Provider Business Practice Location Address Fax Number:
305-549-6633
Provider Enumeration Date:
10/11/2012