Organization
MOVILLE PHARMACY INC
Active
Other names
MOVILLE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CARMAN RPH (STAFF PHARMACIST)
(712) 873-3401
Entity
Organization
Contact information
Practice address
216 MAIN ST, MOVILLE, IA 51039-7713
(712) 873-3401
Mailing address
PO BOX 525, MOVILLE, IA 51039-0525
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
57
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056523
—
IA
01
—
1604164
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2006
Last updated
03/02/2011
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