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RED ROCK PHARMACY INCORPORATED

Medical Equipment Supplier Yellow Pages

Jerome, Idaho

Provider NPI: 1053548073

Organization Information:
Organization Name:  RED ROCK PHARMACY INCORPORATED


Practice Location:
133 W AVENUE A  JEROME, ID 83338 US
Tel: 208-324-3784  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:

IssuerNumberStateType
806707900ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS ID - Page 1



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