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NPI Code Detail

MEDICARE: RSM PHARMACY INC

MEDICARE: RSM PHARMACY INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacySP0552397WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22124036OTHERPK

General Provider Information

NPI Number : 1265468029
Entity Type Code : Organization
Provider Name (Legal Business Name) : RSM PHARMACY INC
Provider Business Mailing Address
First Line : PO BOX 74
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-0074
Country : US
Telephone Number : 304-275-4687
Fax Number : 304-275-4502
Provider Business Practice Location Address
First Line : 483 COURT ST
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-1109
Country : US
Telephone Number : 304-275-4687
Fax Number : 304-275-4502
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : RONALD MCKINNEY
Credential : PHARM D
Telephone Number : 304-275-4687
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/18/2021

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Directions to “RSM PHARMACY INC ” Practice Location

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