Organization
K D ENTERPRISES CO INC
Active
Other names
CROWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JOHN VERSLUYS R.PH. (OWNER)
(641) 628-1612
Entity
Organization
Contact information
Practice address
802 WASHINGTON ST, PELLA, IA 50219-1525
(641) 628-1612
(641) 620-0021
Mailing address
802 WASHINGTON ST, PELLA, IA 50219-1525
(641) 628-1612
(641) 620-0021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
217
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166272
—
IA
Enumeration date
10/02/2006
Last updated
12/16/2009
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