Provider Demographics
NPI:1932213311
Name:RCH PHARMACY SERVICES LTD
Entity Type:Organization
Organization Name:RCH PHARMACY SERVICES LTD
Other - Org Name:GUIDEPOINT PHARMACY #102
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:218-829-0347
Mailing Address - Street 1:108 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-3575
Mailing Address - Country:US
Mailing Address - Phone:218-829-0347
Mailing Address - Fax:218-829-4701
Practice Address - Street 1:202 N BROADWAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-3646
Practice Address - Country:US
Practice Address - Phone:507-288-6463
Practice Address - Fax:507-288-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MN2612713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2046606OtherPK
MN624697400Medicaid
4068820001Medicare NSC