Organization
AVOCA FOOD LAND PHARMACY, INC.
Active
Other names
Avoca Food Land Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DINA CORBETT (OWNER)
(402) 740-0971
Entity
Organization
Contact information
Practice address
212 W WOOD ST, AVOCA, IA 51521-4511
(712) 343-2352
(712) 343-6001
Mailing address
45 5TH ST, WOODBINE, IA 51579-1253
(402) 740-0971
(712) 642-4299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1589
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166338
PK
—
Enumeration date
11/21/2016
Last updated
11/21/2016
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