Provider Demographics
NPI:1578375887
Name:RPH LLC
Entity type:Organization
Organization Name:RPH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SABINO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:781-631-8100
Mailing Address - Street 1:1 VILLAGE PLZ
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2373
Mailing Address - Country:US
Mailing Address - Phone:781-631-8100
Mailing Address - Fax:
Practice Address - Street 1:1 VILLAGE PLZ
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2373
Practice Address - Country:US
Practice Address - Phone:781-631-8100
Practice Address - Fax:781-639-2919
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RPH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-23
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy