Provider Demographics
NPI:1851064505
Name:3 RIVERS PHARMACY LLC
Entity Type:Organization
Organization Name:3 RIVERS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:EILERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-485-9910
Mailing Address - Street 1:117 FOX PLAN RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2723
Mailing Address - Country:US
Mailing Address - Phone:412-485-9910
Mailing Address - Fax:
Practice Address - Street 1:117 FOX PLAN RD STE 301
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2723
Practice Address - Country:US
Practice Address - Phone:412-485-9910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy