Organization
PEMBERS DRUG INC
Active
Other names
PEMBERS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PEMBER (OWNER)
(712) 476-5379
Entity
Organization
Contact information
Practice address
1415 MAIN ST, ROCK VALLEY, IA 51247-1223
(712) 476-5379
(712) 476-5547
Mailing address
1415 MAIN ST, ROCK VALLEY, IA 51247-1223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
545
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081653
—
IA
01
—
1607158
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/26/2008
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