Organization
RCP INC
Active
Other names
BOBS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB NEWSOM (PRESIDENT)
(208) 269-7135
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY STE 303, POCATELLO, ID 83201-5175
(208) 269-7135
(208) 478-9172
Mailing address
777 HOSPITAL WAY, SUITE 303, POCATELLO, ID 83201-5175
(208) 269-7135
(208) 478-9172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1399CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306112
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
805328100
—
ID
Enumeration date
08/10/2006
Last updated
08/03/2012
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