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General NPI Number Information
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NPI Number | 1730580333
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Entity Type | Organization
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Legal Business Name | RIVERTON PHARMACY INC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 2085 LEXINGTON AVENUE
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 212-283-8301
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Fax | 212-283-8308
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Provider Business Mailing Address
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Address Line | 2085 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10035-1746
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Country | US
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Telephone | 212-283-8300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHRINEETA R GADE
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Credential |
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Telephone | 212-283-8301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 033052
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License Number State | NY
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