Rider Pharmacy INC
NPI #1467459545 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1467459545
- Entity Type
- Organization
- Organization Name
- Rider Pharmacy INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 5, 2005
- Last Updated
- Jun 7, 2017
Practice Location
- Address
- 303 MERCHANT ST
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-5213
- Phone
- (304) 366-2710
Authorized Official
- Name
- JONATHAN RIDER
- Title
- OWNER
- Phone
- (304) 366-2710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
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