Organization
CHARTWELL PHARMACY LLC
Active
Other names
Serviam Pharmacy of Council Bluffs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ROBERT RUSSELL RPH (OWNER / MANAGING PARTNER)
(502) 817-8620
Entity
Organization
Contact information
Practice address
608 13TH AVE STE 101, COUNCIL BLUFFS, IA 51501-6401
(712) 314-2303
(712) 224-4043
Mailing address
608 13TH AVE STE 101, COUNCIL BLUFFS, IA 51501-6401
(712) 314-2303
(712) 224-4043
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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