Organization
CHARLES CITY LONG TERM CARE PHARMACY
Active
Other names
CHARLES CITY LONG TERM CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HARMS RPH (OWNER)
(319) 277-1829
Entity
Organization
Contact information
Practice address
103 E 18TH ST, CEDAR FALLS, IA 50613-4288
(641) 228-4137
(855) 757-4040
Mailing address
103 E 18TH ST, CEDAR FALLS, IA 50613-4288
(641) 228-4137
(855) 757-4040
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2008
Last updated
09/26/2012
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