Provider Demographics
NPI:1639823628
Name:RIVER ROAD PHARMACY
Entity Type:Organization
Organization Name:RIVER ROAD PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:830-816-5312
Mailing Address - Street 1:910 RIVER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2441
Mailing Address - Country:US
Mailing Address - Phone:830-816-5312
Mailing Address - Fax:
Practice Address - Street 1:119 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:STRAWN
Practice Address - State:TX
Practice Address - Zip Code:76475-5124
Practice Address - Country:US
Practice Address - Phone:830-816-5312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy