Organization
RED ROCK PHARMACY INCORPORATED
Active
Other names
R & R PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD SNELL RPH (OWNER)
(208) 324-3528
Entity
Organization
Contact information
Practice address
133 W AVENUE A, JEROME, ID 83338-2601
(208) 324-3528
(208) 324-4599
Mailing address
133 W AVENUE A, JEROME, ID 83338-2601
(208) 324-3528
(208) 324-4599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1804CP
ID
3336C0003X
Community/Retail Pharmacy
1804CP
ID
3336H0001X
Home Infusion Therapy Pharmacy
1804CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806707800
—
ID
05
—
806707900
—
ID
Enumeration date
06/25/2006
Last updated
09/29/2010
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