Organization
FOODS, INC
Active
Other names
Dahl's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN ALDRICH RPH (PHARMACY DIRECTOR)
(515) 276-4845
Entity
Organization
Contact information
Practice address
1802 N. ANKENY BLVD., ANKENY, IA 50023-4768
(515) 289-0911
(515) 963-1907
Mailing address
1802 N. ANKENY BLVD., ANKENY, IA 50023-4768
(515) 289-0911
(515) 963-1907
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1296
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489260
—
IA
01
—
1622706
NCPDP
—
01
—
I20027
MEDICARE FLU ROSTER
—
01
—
P00650396
MEDICARE PTAN
IA
Enumeration date
07/06/2006
Last updated
03/09/2010
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