Organization
RIO RICO PHARMACY LLC
Active
Other names
RIO RICO PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH COIL (OWNER)
(520) 307-1669
Entity
Organization
Contact information
Practice address
1131 W FRONTAGE RD STE A, RIO RICO, AZ 85648-6203
(520) 761-3338
(520) 761-3339
Mailing address
PO BOX 4768, RIO RICO, AZ 85648-4768
(520) 307-1669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004369
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991963
PK
—
Enumeration date
06/13/2006
Last updated
04/04/2014
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