Organization
ROE & ROE INC
Active
Other names
HOMEDALE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH ROE (VP)
(208) 337-3898
Entity
Organization
Contact information
Practice address
5 N MAIN, HOMEDALE, ID 83628
(208) 337-3898
(208) 337-4652
Mailing address
5 N MAIN, HOMEDALE, ID 83628-0037
(208) 337-3898
(208) 337-4652
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1418CP
ID
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306770
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
297021
—
OR
05
—
805397800
—
ID
Enumeration date
08/10/2006
Last updated
03/28/2022
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