Organization
ROSAUERS SUPERMARKETS INC
Active
Other names
SUPER 1 PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY PHILIPPS RPH (PRES)
(509) 326-8900
Entity
Organization
Contact information
Practice address
1250 N HIGHWAY 395, COLVILLE, WA 99114-2005
(509) 684-3151
(509) 684-3233
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
CF56023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4925953
OTHER ID NUMBER
—
05
—
6020358
—
WA
Enumeration date
10/10/2005
Last updated
09/13/2007
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