# C R PHARMACY SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly's Home Medical, a CarePro Affiliate
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558782110
- **Authorized official:** MRS. MICHELLE M. JENSEN (CEO)
- **Authorized official phone:** (319) 363-4554

## Contact information

- **Practice address:** 931 13TH AVE N, CLINTON, IA 52732-5072
- **Practice address phone:** (563) 242-2305
- **Practice address fax:** (563) 242-4212
- **Mailing address:** 931 13TH AVE N, CLINTON, IA 52732-5072
- **Mailing address phone:** (563) 242-2305
- **Mailing address fax:** (563) 242-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2013
- **Last updated:** 07/31/2015