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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