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Organization
FRIENDSHIP HAVEN, INC
Active
Organization
FRIENDSHIP HAVEN, INC
Active
Other names
Friendship Haven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE E CONRAD RPH (DIRECTOR OF PHARMACY)
(515) 573-6015
Entity
Organization
Contact information
Practice address
420 KENYON RD, FORT DODGE, IA 50501-5749
(515) 573-6015
(515) 573-6029
Mailing address
420 KENYON RD, FORT DODGE, IA 50501-5749
(515) 573-6015
(515) 573-6029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
450
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076646
—
IA
01
—
2026554
PK
—
Enumeration date
07/25/2006
Last updated
08/21/2025
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