Red Rock Pharmacy Incorporated

NPI #1902832314 in Jerome, Idaho

Provider Information

NPI Number: 1902832314
Entity Type: Organization
Organization Name: Red Rock Pharmacy Incorporated
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 25, 2006
Last Updated: Sep 29, 2010

Practice Location

Address: 133 W AVENUE A
City: Jerome
State: Idaho
ZIP Code: 83338-2601
Phone: (208) 324-3528

Authorized Official

Name: MR. EDWARD SNELL, RPH
Title: OWNER
Phone: (208) 324-3528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy	3336H0001X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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