# PHARMACY SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1881969657
- **Authorized official:** MR. MATTHEW J MCNULTY R.PH. (PRESIDENT)
- **Authorized official phone:** (515) 669-6571

## Contact information

- **Practice address:** 1109 TRADITION DR, POLK CITY, IA 50226-1220
- **Practice address phone:** (515) 669-6571
- **Practice address fax:** (866) 875-1792
- **Mailing address:** 1109 TRADITION DR, POLK CITY, IA 50226-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 1341 | IA | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012