Organization
ROSAUERS SUPERMARKETS INC
Active
Other names
ROSAUERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY PHILPPS RPH (PRES)
(509) 326-8900
Entity
Organization
Contact information
Practice address
2350 S RESERVE ST, MISSOULA, MT 59801-6447
(406) 721-5330
(406) 721-4832
Mailing address
PO BOX 9000, SPOKANE, WA 99209-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
672MT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05600725
—
MT
01
—
2703266
OTHER ID NUMBER
—
Enumeration date
10/10/2005
Last updated
09/13/2007
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