Organization
ROCKERS PHARMACY
Active
Parent organization
ROCKERS PHARMACY
Other names
Rockers Pharmacy - Long Term Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKERS PHARMACY
Authorized official
NATHAN ROCKERS PHARM D. (OWNER)
(913) 294-2715
Entity
Organization
Contact information
Practice address
304 BAPTISTE DR, PAOLA, KS 66071-1327
(913) 294-2715
(913) 294-3666
Mailing address
304 BAPTISTE DR, PAOLA, KS 66071-1327
(913) 294-2715
(913) 294-3666
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200613730A
—
KS
Enumeration date
09/27/2021
Last updated
09/27/2021
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