Organization
ROCKERS PHARMACY INC
Active
Other names
Rockers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ROCKERS (PRESIDENT)
(913) 294-2715
Entity
Organization
Contact information
Practice address
304 BAPTISTE DR, PAOLA, KS 66071-1329
(913) 294-2715
(913) 294-3666
Mailing address
304 BAPTISTE DR, PAOLA, KS 66071-1329
(913) 294-2715
(913) 294-3666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-13049
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104053107
—
IA
05
—
143825500
—
WY
05
—
1651591
—
AK
05
—
200613730A
—
KS
01
—
2120693
PK
—
05
—
4322194
—
MO
Enumeration date
06/17/2009
Last updated
10/24/2016
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