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General NPI Number Information
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NPI Number | 1992049126
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Entity Type | Organization
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Legal Business Name | RIVERCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1787 RIVER RD
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City | CAMDEN
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State | NJ
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Zip | 08105-4215
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Country | US
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Telephone | 856-757-0200
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Fax | 856-757-0200
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Provider Business Mailing Address
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Address Line | 1787 RIVER RD 1787 RIVER RD
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City | CAMDEN
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State | NJ
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Zip | 08105
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Country | US
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Telephone | 856-757-0200
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Fax | 856-757-0211
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Authorized Official
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Title or Position | OWNER
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Name | VISWA PRAKASH VARMA MANTENA
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Credential |
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Telephone | 856-757-0200
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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 | 28RS00722700
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License Number State | NJ
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