Whalio Doctors

NPI 1902832314

Red Rock Pharmacy Incorporated

Organisation Durable Medical Equipment & Medical Supplies Jerome, ID

Practice location

Address
133 W Avenue a, Jerome, ID 83338-2601
Phone
(208) 324-3528
Fax
(208) 324-4599

Authorised official

Name
Edward Snell
Title
Owner
Phone
(208) 324-3528

Registered specialties (3)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 1804CP (ID)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence 1804CP (ID)
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X Licence 1804CP (ID)

Registry record

NPI
1902832314
Entity type
Organization
NPI issued
25 Jun 2006
Record last updated
29 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.