# ROCKERS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROCKERS PHARMACY
- **Other names:** Rockers Pharmacy - Long Term Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760153936
- **Legal business name:** ROCKERS PHARMACY
- **Authorized official:** NATHAN ROCKERS PHARM D. (OWNER)
- **Authorized official phone:** (913) 294-2715

## Contact information

- **Practice address:** 304 BAPTISTE DR, PAOLA, KS 66071-1327
- **Practice address phone:** (913) 294-2715
- **Practice address fax:** (913) 294-3666
- **Mailing address:** 304 BAPTISTE DR, PAOLA, KS 66071-1327
- **Mailing address phone:** (913) 294-2715
- **Mailing address fax:** (913) 294-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 09/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200613730A | — | KS |