Rosauers Pharmacy

LBN: Rosauers Supermarkets Inc
Rosauers Pharmacy is an health care organization with primary practice located at 3320 Thain Rd , Lewiston ID 83501-5337. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rosauers Supermarkets Inc can be contacted via phone (208) 743-6511, or through Philipps, Jeffry via phone (509) 326-8900.

Contact Information

Primary practice address
3320 Thain Rd Lewiston ID 83501-5337
Phone: (208) 743-6511
Fax: (208) 746-6288
Website:
Map and Directions
Authorized official contact:
Name: Philipps, Jeffry RPH
Phone: (509) 326-8900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1025CP Idaho

Profile Details

NPI number 1154310837
LBN Legal business name Rosauers Supermarkets Inc
DBA Doing business as Rosauers Pharmacy
Authorized official Philipps, Jeffry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated Sep 4th, 2007 - about 19 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 1154310837 NPPES
Other 1305677 OTHER ID NUMBER
MEDICAID 003119 OTHER ID NUMBER

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