Provider Demographics
NPI:1508120205
Name:ROCKVIEW PHARMACY INC
Entity Type:Organization
Organization Name:ROCKVIEW PHARMACY INC
Other - Org Name:ROCKVIEW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MALZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-240-2226
Mailing Address - Street 1:307 3RD ST NE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PARSHALL
Mailing Address - State:ND
Mailing Address - Zip Code:58770-7109
Mailing Address - Country:US
Mailing Address - Phone:701-862-3242
Mailing Address - Fax:701-862-2536
Practice Address - Street 1:307 3RD ST NE
Practice Address - Street 2:
Practice Address - City:PARSHALL
Practice Address - State:ND
Practice Address - Zip Code:58770-7109
Practice Address - Country:US
Practice Address - Phone:701-862-3242
Practice Address - Fax:701-862-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NDPHAR6853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135826OtherPK