Provider Demographics
NPI:1689767014
Name:R & M PHARMACIES LLC
Entity Type:Organization
Organization Name:R & M PHARMACIES LLC
Other - Org Name:BEYOND PHARMACY BENSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:TREPANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-586-1299
Mailing Address - Street 1:795 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85602-6431
Mailing Address - Country:US
Mailing Address - Phone:520-586-1299
Mailing Address - Fax:520-586-1293
Practice Address - Street 1:795 W 4TH ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:AZ
Practice Address - Zip Code:85602-6431
Practice Address - Country:US
Practice Address - Phone:520-586-1299
Practice Address - Fax:520-586-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ402985333600000X
3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0323004OtherOTHER ID NUMBER-COMMERCIAL NUMBER
AZ438433Medicaid
AZBT6405458OtherDEA #
AZZ105410Medicare PIN
0323004OtherOTHER ID NUMBER-COMMERCIAL NUMBER
AZP00637885Medicare PIN