Healthcare Provider Details

I. General information

NPI: 1518885102
Provider Name (Legal Business Name): COUNTY OF RIVERSIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20545 HARVILL AVE
PERRIS CA
92570-4907
US

IV. Provider business mailing address

20545 HARVILL AVE
PERRIS CA
92570-4907
US

V. Phone/Fax

Practice location:
  • Phone: 951-486-4523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: THU KIEU NGUYEN HUYNH
Title or Position: SUPERVISING CLINICAL PHARMACIST
Credential:
Phone: 951-486-4613