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Organization

MCMAHON DRUG STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MCMAHON RPH (OWNER)
(641) 322-6454
Entity
Organization

Contact information

Practice address
625 DAVIS AVE, CORNING, IA 50841-1616
(641) 322-3454
(641) 322-5277
Mailing address
625 DAVIS AVE, CORNING, IA 50841-1616

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
405
IA
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002258
IA
01
1603984
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/30/2006
Last updated
02/03/2010
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