MEDICARE: RPHH LLC

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	Y005886	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145589	OTHER		PK

General Provider Information

NPI Number	:	1417367061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RPHH LLC

Provider Business Mailing Address
First Line	:	1728 W GLENDALE AVE
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8860
Country	:	US
Telephone Number	:	602-800-7855
Fax Number	:	602-344-9098

Provider Business Practice Location Address
First Line	:	1728 W GLENDALE AVE STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8862
Country	:	US
Telephone Number	:	602-800-7855
Fax Number	:	602-344-9098

Authorized Official
Title or Position	:	PHARMACIST
Name	:	AHMAD RKEIN
Credential	:
Telephone Number	:	602-800-7856

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	08/21/2014

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Directions to “RPHH LLC ” Practice Location

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