Provider Demographics
NPI:1336514140
Name:RIVERSIDE PHARMACY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:RIVERSIDE PHARMACY ASSOCIATES, LLC
Other - Org Name:APEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:EMO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:816-561-2523
Mailing Address - Street 1:1142 MERRIAM LN
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-1652
Mailing Address - Country:US
Mailing Address - Phone:816-561-2523
Mailing Address - Fax:816-561-0778
Practice Address - Street 1:1142 MERRIAM LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-1652
Practice Address - Country:US
Practice Address - Phone:816-561-2523
Practice Address - Fax:816-561-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy