Healthcare Provider Details

I. General information

NPI: 1205907219
Provider Name (Legal Business Name): RPCS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 W REPUBLIC RD
SPRINGFIELD MO
65807-7450
US

IV. Provider business mailing address

336 S BARNES AVE
SPRINGFIELD MO
65802-2801
US

V. Phone/Fax

Practice location:
  • Phone: 417-889-8566
  • Fax: 417-886-3724
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2005003790
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERICK TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 417-829-9200