Provider Demographics
NPI:1417646902
Name:R & R MEDICAL INC
Entity Type:Organization
Organization Name:R & R MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-443-3411
Mailing Address - Street 1:2515 E HUNTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-7329
Mailing Address - Country:US
Mailing Address - Phone:479-443-3411
Mailing Address - Fax:
Practice Address - Street 1:2515 E HUNTSVILLE RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-7329
Practice Address - Country:US
Practice Address - Phone:479-443-3411
Practice Address - Fax:479-443-3412
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & R MEDICAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy