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Organization

ROSAUERS SUPERMARKETS INC

Active
Other names
ROSAUERS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFRY PHILIPPS RPH (PRESIDENT CEO)
(509) 326-8900
Entity
Organization

Contact information

Practice address
3255 TECHNOLOGY BLVD W, BOZEMAN, MT 59718-6854
(406) 587-4005
(406) 587-4009
Mailing address
PO BOX 9000, SPOKANE, WA 99209-9000
(509) 326-8900
(509) 325-7623

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-1237
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2052654
PK
Enumeration date
10/09/2007
Last updated
11/25/2015
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