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General NPI Number Information
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NPI Number | 1699325415
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Entity Type | Organization
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Legal Business Name | ROCKLAND PHARMACY, INC
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 524 TYHEE AVE
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City | AMERICAN FALLS
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State | ID
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Zip | 83211-1224
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Country | US
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Telephone | 208-226-2411
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Fax | 208-226-5124
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Provider Business Mailing Address
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Address Line | 524 TYHEE AVE
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City | AMERICAN FALLS
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State | ID
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Zip | 83211-1224
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Country | US
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Telephone | 208-226-2411
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Fax | 208-226-5124
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | PHILIP SCOTT ANDERSON
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Credential | PHARMD
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Telephone | 208-226-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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