R & R Pharmacy

LBN: Red Rock Pharmacy Incorporated
R & R Pharmacy is an health care organization with primary practice located at 133 W Avenue A , Jerome ID 83338-2601. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Red Rock Pharmacy Incorporated can be contacted via phone (208) 324-3528, or through Snell, Edward via phone (208) 324-3528.

Contact Information

Primary practice address
133 W Avenue A Jerome ID 83338-2601
Phone: (208) 324-3528
Fax: (208) 324-4599
Website:
Map and Directions
Authorized official contact:
Name: Snell, Edward RPH
Phone: (208) 324-3528

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1804CP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X 1804CP Idaho
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 1804CP Idaho

Profile Details

NPI number 1902832314
LBN Legal business name Red Rock Pharmacy Incorporated
DBA Doing business as R & R Pharmacy
Authorized official Snell, Edward RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Sep 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902832314 NPPES
Idaho MEDICAID 806707900
Idaho MEDICAID 806707800

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