Provider Demographics
NPI:1114065596
Name:RPHC LLC
Entity Type:Organization
Organization Name:RPHC LLC
Other - Org Name:REEDS PHARMACY 3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:301-678-2932
Mailing Address - Street 1:343 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MD
Mailing Address - Zip Code:21750-1046
Mailing Address - Country:US
Mailing Address - Phone:301-678-2930
Mailing Address - Fax:301-678-2932
Practice Address - Street 1:343 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MD
Practice Address - Zip Code:21750-1046
Practice Address - Country:US
Practice Address - Phone:301-678-2930
Practice Address - Fax:301-678-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPO43233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD005492500Medicaid
PA1015233400001Medicaid
WV3810003576Medicaid
MD5527290001Medicare NSC