Organization
CARRUTHERS PHARMACY PC
Active
Organization
CARRUTHERS PHARMACY PC
Active
Other names
CARRUTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MOHR (OWNER)
(319) 394-3420
Entity
Organization
Contact information
Practice address
526 MAIN ST, MEDIAPOLIS, IA 52637-7788
(319) 394-3420
(319) 394-3426
Mailing address
526 MAIN ST, PO BOX 457, MEDIAPOLIS, IA 52637-7788
(319) 394-3420
(319) 394-3426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
235
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099283
—
IA
01
—
2027601
PK
—
Enumeration date
06/15/2006
Last updated
06/16/2020
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