# RURAL RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699508739
- **Authorized official:** KYLE YOUNGBLOOD (OWNER)
- **Authorized official phone:** (515) 386-2164

## Contact information

- **Practice address:** 400 N ELM ST, JEFFERSON, IA 50129-1420
- **Practice address phone:** (515) 386-2164
- **Practice address fax:** (515) 386-8521
- **Mailing address:** 400 N ELM ST, JEFFERSON, IA 50129-1420

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 08/23/2024