Provider Demographics
NPI:1982474821
Name:RIVERCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:RIVERCARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VISWA PRAKASH
Authorized Official - Middle Name:VARMA
Authorized Official - Last Name:MANTENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-745-9499
Mailing Address - Street 1:8 JERRICK CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-9525
Mailing Address - Country:US
Mailing Address - Phone:190-874-5949
Mailing Address - Fax:
Practice Address - Street 1:1787 RIVER ROAD
Practice Address - Street 2:CAMDEN
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105
Practice Address - Country:US
Practice Address - Phone:856-757-0200
Practice Address - Fax:856-757-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy