Organization
P B R INC
Active
Other names
MED-EQUIP
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY J TSCHOPP RPH (OWNER)
(712) 728-2165
Entity
Organization
Contact information
Practice address
141 S CENTRAL AVE, HARTLEY, IA 51346-1412
(712) 928-3300
(712) 928-3400
Mailing address
PO BOX 28, HARTLEY, IA 51346-0028
(712) 728-2165
(712) 728-2805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264184
—
IA
Enumeration date
06/03/2006
Last updated
02/12/2013
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