MEDICARE: RMS ASSOCIATES 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
1	3336L0003X	Long Term Care Pharmacy	005814	MO
2	333600000X	Pharmacy	005814	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2621010	OTHER	MO	NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720073174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMS ASSOCIATES INC

Provider Business Mailing Address
First Line	:	205 S 71 HWY
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485
Country	:	US
Telephone Number	:	816-324-4211
Fax Number	:	816-324-4830

Provider Business Practice Location Address
First Line	:	205 S 71 HWY
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485
Country	:	US
Telephone Number	:	816-324-4211
Fax Number	:	816-324-4830

Authorized Official
Title or Position	:	PRES
Name	:	MRS. REBECCA JEAN ROTTERMAN
Credential	:	R PH
Telephone Number	:	816-324-4211

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	03/06/2018

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