Organization
CAMANCHE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E RICHESON RPH (OWNER MANAGER)
(563) 259-8361
Entity
Organization
Contact information
Practice address
818 7TH AVE, CAMANCHE, IA 52730
(563) 259-8361
(563) 259-9208
Mailing address
818 7TH AVE, CAMANCHE, IA 52730
(563) 259-8361
(563) 259-9208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
140
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011692
—
IA
01
—
1604873
NCPDP
—
Enumeration date
12/01/2006
Last updated
08/22/2020
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