Provider Demographics
NPI:1285254060
Name:RIVER ROAD PHARMACY
Entity type:Organization
Organization Name:RIVER ROAD PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:LEN
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:830-816-5312
Mailing Address - Street 1:910 RIVER RD
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 1:910 RIVER RD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2441
Practice Address - Country:US
Practice Address - Phone:830-816-5312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVER ROAD PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy