Organization
ROSAUERS SUPERMARKETS INC
Active
Other names
ROSAUERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY PHILIPPS RPH (PRES)
(509) 326-8900
Entity
Organization
Contact information
Practice address
3320 THAIN RD, LEWISTON, ID 83501-5337
(208) 743-6511
(208) 746-6288
Mailing address
PO BOX 9000, 1815 W GARLAND, SPOKANE, WA 99209-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1025CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119
—
ID
01
—
1305677
OTHER ID NUMBER
—
Enumeration date
10/17/2005
Last updated
09/04/2007
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