Healthcare Provider Details

I. General information

NPI: 1821107657
Provider Name (Legal Business Name): RIVER VIEW ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5702 US HIGHWAY 278 E
HOKES BLUFF AL
35903-7204
US

IV. Provider business mailing address

5702 US HIGHWAY 278 E
HOKES BLUFF AL
35903-7204
US

V. Phone/Fax

Practice location:
  • Phone: 256-494-1918
  • Fax: 256-494-1925
Mailing address:
  • Phone: 256-494-1918
  • Fax: 256-494-1925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112217
License Number StateAL

VIII. Authorized Official

Name: CANDACE WEST
Title or Position: PRESIDENT
Credential:
Phone: 256-494-1918