| Organization Name: | RED ROCK PHARMACY INCORPORATED |
| NPI Number: | 1902832314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD SNELL (OWNER) |
| Mailing Address: | 133 W Avenue A Jerome |
| State: | ID US |
| Postal Code: | 833382601 |
| Phone Number: | 2083243528 |
| Fax Number: | 2083244599 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336H0001X |
| License Number: | 1804CP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Home Infusion Therapy Pharmacy |
| Taxonomy Definition: | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |