Rider Pharmacy INC

NPI #1013276567 in Fairmont, West Virginia

Provider Information

NPI Number: 1013276567
Entity Type: Organization
Organization Name: Rider Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: May 3, 2012
Last Updated: Mar 7, 2016

Practice Location

Address: 303 MERCHANT ST
City: Fairmont
State: West Virginia
ZIP Code: 26554-5213
Phone: (304) 366-2710

Authorized Official

Name: JONATHAN MICHAEL RIDER
Title: OWNER
Phone: (304) 366-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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