Organization
PHARMA340 LLC
Active
Other names
Community Pharmacy of Rockwell City, Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DONNELLY (VICE PRESIDENT)
(210) 441-2036
Entity
Organization
Contact information
Practice address
507 E LAKE ST, ROCKWELL CITY, IA 50579-1711
(712) 297-7337
Mailing address
1321 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 830-5443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/16/2019
Last updated
12/17/2024
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