Organization
RNB PHARMACY LLC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
1625 MEDICAL CENTER PT, SUITE 140, COLORADO SPRINGS, CO 80907-8731
(719) 577-9800
(719) 475-8906
Mailing address
1625 MEDICAL CENTER PT, SUITE 140, COLORADO SPRINGS, CO 80907-8731
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2458
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614568
OTHER ID NUMBER
—
Enumeration date
01/23/2007
Last updated
05/20/2008
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