# FRIENDSHIP HAVEN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Friendship Haven Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700809407
- **Authorized official:** NICOLE E CONRAD RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (515) 573-6015

## Contact information

- **Practice address:** 420 KENYON RD, FORT DODGE, IA 50501-5749
- **Practice address phone:** (515) 573-6015
- **Practice address fax:** (515) 573-6029
- **Mailing address:** 420 KENYON RD, FORT DODGE, IA 50501-5749
- **Mailing address phone:** (515) 573-6015
- **Mailing address fax:** (515) 573-6029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 450 | IA | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0076646 | — | IA |
| 01 | — | 2026554 | PK | — |