# MAHASKA DRUG 'LONG-TERM CARE'

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mahaska Drug 'Long-Term Care', Mahaska Drug 'Lone-Term Care'
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568021335
- **Authorized official:** JANE NICHOLSON RPH (PHARMACIST)
- **Authorized official phone:** (641) 673-3439

## Contact information

- **Practice address:** 205 N E ST, OSKALOOSA, IA 52577-2016
- **Practice address phone:** (641) 673-3439
- **Practice address fax:** (641) 673-3945
- **Mailing address:** 205 N E ST, OSKALOOSA, IA 52577-2016
- **Mailing address phone:** (641) 673-3439
- **Mailing address fax:** (641) 673-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2019
- **Last updated:** 11/12/2022