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Organization

AVOCA FOOD LAND PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINA GLEE CORBETT (OWNER)
(402) 740-0971
Entity
Organization

Contact information

Practice address
212 W WOOD ST, AVOCA, IA 51521-4511
(712) 343-2352
(712) 343-6001
Mailing address
212 W WOOD ST, AVOCA, IA 51521-4511
(712) 343-2352
(712) 343-6001

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1589
IA

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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