MEDICARE: R & S PHARMACY

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	3336C0003X	Community/Retail Pharmacy	0201004498	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2136105	OTHER		PK

General Provider Information

NPI Number	:	1700131927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & S PHARMACY

Provider Business Mailing Address
First Line	:	3321 W MERCURY BLVD STE D
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3806
Country	:	US
Telephone Number	:	757-864-0380
Fax Number	:	757-864-0486

Provider Business Practice Location Address
First Line	:	3321 W MERCURY BLVD STE D
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3806
Country	:	US
Telephone Number	:	757-864-0380
Fax Number	:	757-864-0486

Authorized Official
Title or Position	:	OWNER, PIC
Name	:	RICHARD MCPHEE
Credential	:	RPH
Telephone Number	:	757-718-2812

Provider Enumeration Date	:	07/14/2012
Last Update Date	:	11/17/2014

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Directions to “R & S PHARMACY ” Practice Location

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