Organization
DISCO DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY N. CROSBY R.PH. (PHARMACIST/OWNER)
(515) 955-5430
Entity
Organization
Contact information
Practice address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 955-5430
(515) 955-1453
Mailing address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 955-5430
(515) 955-1453
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
485
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450528
—
IA
01
—
1605433
NABP #
—
Enumeration date
08/12/2006
Last updated
03/07/2023
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