Super 1 Pharmacy

LBN: Rosauers Supermarkets Inc
Super 1 Pharmacy is an health care organization with primary practice located at 1250 N Highway 395 , Colville WA 99114-2005. 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 (509) 684-3151, or through Philipps, Jeffry via phone (509) 326-8900.

Contact Information

Primary practice address
1250 N Highway 395 Colville WA 99114-2005
Phone: (509) 684-3151
Fax: (509) 684-3233
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 CF56023 Washington

Profile Details

NPI number 1154319572
LBN Legal business name Rosauers Supermarkets Inc
DBA Doing business as Super 1 Pharmacy
Authorized official Philipps, Jeffry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Sep 13th, 2007 - about 17 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 1154319572 NPPES
Other 4925953 OTHER ID NUMBER
MEDICAID 6020358 OTHER ID NUMBER

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