Healthcare Provider Details

I. General information

NPI: 1841128501
Provider Name (Legal Business Name): ROSAUERS SUPERMARKETS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 BANDANA STREET
BELGRADE MT
59714
US

IV. Provider business mailing address

104 BANDANA STREET
BELGRADE MT
59714
US

V. Phone/Fax

Practice location:
  • Phone: 406-919-1755
  • Fax: 406-919-1756
Mailing address:
  • Phone: 406-919-1755
  • Fax: 406-919-1756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT WILLIAM QUEEN
Title or Position: DIRECTOR OF PHARMACY
Credential: R.PH.
Phone: 509-326-8900