Organization
B & R STORES, INC
Active
Other names
Super Saver Pharmacy #12
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEO SCHMID PHARMD (DIRECTOR OF PHARMACY)
(402) 464-6297
Entity
Organization
Contact information
Practice address
1141 N BROADWAY, COUNCIL BLUFFS, IA 51503-1513
(712) 322-9019
(712) 325-9731
Mailing address
1141 N BROADWAY, COUNCIL BLUFFS, IA 51503-1513
(712) 322-9019
(712) 325-9731
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
972
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094664
—
IA
Enumeration date
08/23/2006
Last updated
11/09/2012
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