Organization
ROSAUERS SUPERMARKETS INC
Active
Organization
ROSAUERS SUPERMARKETS INC
Active
Other names
SUPER 1 PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY PHILIPPS RPH (PRES)
(509) 326-8900
Entity
Organization
Contact information
Practice address
200 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3771
(509) 962-7777
(509) 962-7785
Mailing address
PO BOX 9000, SPOKANE, WA 99209-9000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262010403851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4917956
OTHER ID NUMBER
—
05
—
6003529
—
WA
Enumeration date
10/10/2005
Last updated
09/13/2007
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