Organization
PHILL MONT COMPANY
Active
Organization
PHILL MONT COMPANY
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MOWERY RPH (OWNER PHARMACIST)
(712) 542-6546
Entity
Organization
Contact information
Practice address
201 S 16TH ST, CLARINDA, IA 51632-2107
(712) 542-6546
(712) 542-4955
Mailing address
201 S 16TH ST, CLARINDA, IA 51632-2107
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IA
333600000X
Pharmacy
310
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029843
—
IA
01
—
1614230
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
602760605
—
MO
05
—
622760601
—
MO
Enumeration date
10/03/2006
Last updated
03/07/2023
Update your record
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