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NPI Code Detail

MEDICARE: RCH PHARMACY SERVICES, LTD

MEDICARE: RCH PHARMACY SERVICES, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy261271MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12418588OTHERMNNCPDP

General Provider Information

NPI Number : 1154785376
Entity Type Code : Organization
Provider Name (Legal Business Name) : RCH PHARMACY SERVICES, LTD
Provider Business Mailing Address
First Line : 14091 BAXTER DR
Second Line :
City : BAXTER
State : MN
Zip : 56425-8699
Country : US
Telephone Number : 218-829-3473
Fax Number : 218-454-0353
Provider Business Practice Location Address
First Line : 202 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-3646
Country : US
Telephone Number : 507-288-6463
Fax Number : 507-288-2192
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL SCHWARTZWALD
Credential : RPH
Telephone Number : 218-829-3476
Provider Enumeration Date : 04/13/2016
Last Update Date : 04/13/2016

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Directions to “RCH PHARMACY SERVICES, LTD ” Practice Location

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