Organization
BELLEVUE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MCCLIMON RN (MANAGER)
(563) 872-4259
Entity
Organization
Contact information
Practice address
115 STATE ST, BELLEVUE, IA 52031-1307
(563) 872-4259
(563) 872-4837
Mailing address
115 STATE ST, BELLEVUE, IA 52031-1307
(563) 872-4259
(563) 872-4837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
494
IA
3336C0003X
Community/Retail Pharmacy
Primary
494
IA
3336L0003X
Long Term Care Pharmacy
494
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076257
—
IA
01
—
1611032
NCPDP
—
Enumeration date
08/23/2006
Last updated
01/21/2016
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