Organization
MEDICAL CENTER PHARMACY
Active
Parent organization
KOERNER-WHIPPLE PHARMACIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOERNER-WHIPPLE PHARMACIES, INC.
Authorized official
TODD WRAGGE PHARM.D. (PHARMACIST)
(641) 456-4146
Entity
Organization
Contact information
Practice address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1859
(641) 456-4146
(641) 456-4984
Mailing address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1859
(641) 456-4146
(641) 456-4984
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
82
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087213
—
IA
01
—
0263630002
MEDICARE
IA
Enumeration date
01/02/2007
Last updated
06/05/2015
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