Organization
KOERNER-WHIPPLE PHARMACIES, INC.
Active
Other names
Koerner Whipple Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WRAGGE (OWNER/PHARMACIST)
(641) 456-2510
Entity
Organization
Contact information
Practice address
104 1ST ST NW, HAMPTON, IA 50441
(641) 456-2510
(641) 456-4984
Mailing address
104 1ST ST NW, HAMPTON, IA 50441-1702
(641) 456-2510
(641) 456-4984
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
682
IA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018291
—
IA
Enumeration date
12/15/2006
Last updated
07/18/2018
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