Organization
LOBO INC
Active
Other names
WESTFAIR DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RON SPIVA RPH (AO/OWNER)
(563) 785-4930
Entity
Organization
Contact information
Practice address
621 5TH ST, DURANT, IA 52747-7737
(563) 785-4930
(563) 785-6583
Mailing address
621 5TH ST, PO BOX 468, DURANT, IA 52747-7737
(563) 785-4930
(563) 785-6583
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
125
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007682
—
IA
01
—
2026545
PK
—
Enumeration date
10/23/2006
Last updated
11/10/2014
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