Organization
GRABE PHARMACIES INC
Active
Organization
GRABE PHARMACIES INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
2030 6TH ST SW, CEDAR RAPIDS, IA 52404-3564
(319) 364-6930
(319) 261-0114
Mailing address
2030 6TH ST SW, CEDAR RAPIDS, IA 52404-3564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
746
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461186
—
IA
01
—
1613327
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
03/07/2023
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