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General NPI Number Information
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NPI Number | 1184510711
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Entity Type | Organization
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Legal Business Name | ROSAUERS SUPERMARKETS, INC.
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 710 S 9TH AVE
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City | WALLA WALLA
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State | WA
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Zip | 99362-3906
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Country | US
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Telephone | 509-525-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 710 S 9TH AVE
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City | WALLA WALLA
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State | WA
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Zip | 99362-3906
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Country | US
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Telephone | 509-525-8790
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MR. ROBERT WILLIAM QUEEN
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Credential | R.PH.
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Telephone | 509-326-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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