Organization
PRESCRIPTION SHOPPE TELEPHARMACY, LLC
Active
Other names
Nightingale Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NIGHTINGALE (TREASURER)
(702) 780-9548
Entity
Organization
Contact information
Practice address
126 W MAIN ST, WYOMING, IA 52362-7748
(563) 488-3993
(563) 488-3992
Mailing address
1020 12TH AVE SE, DYERSVILLE, IA 52040-1919
(563) 581-2508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1619
IA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712148
—
IA
Enumeration date
10/27/2017
Last updated
03/21/2023
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