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Organization
C R PHARMACY SERVICE INC
Active
Organization
C R PHARMACY SERVICE INC
Active
Other names
Kelly's Home Medical, a CarePro Affiliate
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M. JENSEN (CEO)
(319) 363-4554
Entity
Organization
Contact information
Practice address
730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
(563) 386-1553
(563) 391-7702
Mailing address
730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
(563) 386-1553
(563) 391-7702
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
12/30/2013
Last updated
07/31/2015
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