Provider Demographics
NPI:1144098559
Name:ROPHEKA PHARMACY LLC
Entity type:Organization
Organization Name:ROPHEKA PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:RAHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOADI-YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-275-7466
Mailing Address - Street 1:340 HAWKINS RUN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6638
Mailing Address - Country:US
Mailing Address - Phone:469-612-3827
Mailing Address - Fax:469-296-6570
Practice Address - Street 1:340 HAWKINS RUN RD STE 400
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6638
Practice Address - Country:US
Practice Address - Phone:469-612-3827
Practice Address - Fax:469-296-6570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy