Organization
ECONO-MED OF IOWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS V DEAN RPH (PRESIDENT/OWNER)
(515) 334-7608
Entity
Organization
Contact information
Practice address
11302 AURORA AVE, URBANDALE, IA 50322-7907
(515) 334-7608
(515) 334-7610
Mailing address
11302 AURORA AVE, URBANDALE, IA 50322-7907
(515) 334-7608
(515) 334-7610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279703
—
IA
Enumeration date
09/30/2005
Last updated
08/22/2020
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