Organization
C R PHARMACY SERVICE INC
Active
Other names
CarePro Pharmacy - A Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M. JENSEN (CEO)
(319) 363-4554
Entity
Organization
Contact information
Practice address
717 A AVE NE, SUITE 202, CEDAR RAPIDS, IA 52401-1024
(319) 364-1586
(319) 363-0685
Mailing address
717 A AVE NE, SUITE 202, CEDAR RAPIDS, IA 52401-1024
(319) 364-1586
(319) 363-0685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
427
IA
3336C0003X
Community/Retail Pharmacy
Primary
427
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157768
—
IA
Enumeration date
10/02/2006
Last updated
07/31/2015
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