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RIVERSTONE PHARMACY NPI 1710956537


NPI Information

NPI: 1710956537
Provider Name: RIVERSTONE PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
101 RIVERSTONE VIS
SUITE 100
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 258-2294
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RIVERSTONE PHARMACY is a pharmacy in Blue Ridge, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RIVERSTONE PHARMACY NPI is 1710956537. The provider is registered as an organization entity type.

The provider's business location address is:

101 RIVERSTONE VIS
SUITE 100
BLUE RIDGE, GA
ZIP 30513-648
Phone: (706) 258-2294
Fax: (706) 258-4149

The provider's authorized official is Sherry Lynn Petraroli .
The authorized official title is Pharmacist In Charge and has the following contact phone number (706) 258-2294.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE008584GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100942719AMEDICAIDGEORGIA
21149500OTHERNABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.