Rockland Pharmacy
LBN: Rockland Pharmacy, Inc
Rockland Pharmacy is an health care organization with primary practice located at 524 Tyhee Ave , American Falls ID 83211-1224. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Rockland Pharmacy, Inc can be contacted via phone (208) 226-2411, or through Anderson, Philip via phone (208) 226-2411.
Contact Information
Primary practice address
524 Tyhee Ave
American Falls ID 83211-1224
Phone: (208) 226-2411
Fax: (208) 226-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1063508018 |
|---|---|
| LBN Legal business name | Rockland Pharmacy, Inc |
| DBA Doing business as | Rockland Pharmacy |
| Authorized official | Anderson, Philip PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063508018 | NPPES |
| Idaho | MEDICAID | 0347100001 | |
| Idaho | Other | 2019639 | |
| Idaho | MEDICAID | 002398900 | |
| Idaho | MEDICAID | 00239900 |
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