Provider Demographics
NPI:1952035446
Name:ROCK RUNNERS LOGISTICS LLC
Entity Type:Organization
Organization Name:ROCK RUNNERS LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:OMESIETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-331-5490
Mailing Address - Street 1:1514 E WADSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19150-1616
Mailing Address - Country:US
Mailing Address - Phone:267-331-5490
Mailing Address - Fax:267-331-5472
Practice Address - Street 1:1514 E WADSWORTH AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19150-1616
Practice Address - Country:US
Practice Address - Phone:267-331-5490
Practice Address - Fax:267-331-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy