Organization
MOVILLE PHARMACY INC
Active
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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