Organization
ESTHERVILLE DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ALAN ROBINSON PHARMACIST (PHARMACIST)
(712) 362-3154
Entity
Organization
Contact information
Practice address
522 CENTRAL AVE, ESTHERVILLE, IA 51334-2239
(712) 362-3154
(712) 362-7770
Mailing address
522 CENTRAL AVE, BOX 388, ESTHERVILLE, IA 51334-2239
(712) 362-3154
(712) 362-7770
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
733
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017517
—
IA
Enumeration date
06/19/2006
Last updated
10/29/2018
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