Organization
RED ROCK PHARMACY INCORPORATED
Active
Other names
R & R PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L SNELL RPH (OWNER/MANAGER)
(208) 324-3784
Entity
Organization
Contact information
Practice address
133 W AVENUE A, JEROME, ID 83338-2601
(208) 324-3784
(208) 324-4599
Mailing address
133 W AVENUE A, JEROME, ID 83338-2601
(208) 324-3784
(208) 324-4599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806707900
—
ID
Enumeration date
06/17/2009
Last updated
08/23/2010
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