Organization
ROSAUERS SUPERMARKETS INC
Active
Other names
ROSAUERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY PHILIPPS RPH (PREES)
(509) 326-8900
Entity
Organization
Contact information
Practice address
411 N MAIN ST, MOSCOW, ID 83843-2630
(208) 882-0900
(208) 883-1407
Mailing address
PO BOX 9000, SPOKANE, WA 99209-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1022CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1305665
OTHER ID NUMBER
—
Enumeration date
10/10/2005
Last updated
08/31/2007
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