Organization
ROGUE ENTERPRISES INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDEE GOSNELL RPH (OWNER PHARMACIST)
(937) 456-7890
Entity
Organization
Contact information
Practice address
231 W LEXINGTON RD, EATON, OH 45320-9282
(937) 456-7890
(937) 456-7807
Mailing address
231 W LEXINGTON RD, EATON, OH 45320-9282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02112300
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125471
—
OH
01
—
3666700
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us