Organization
RIO RICO PHARMACY LLC
Active
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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