Organization
ALLIMONT PHARMACIES INC
Active
Other names
GREENE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MOND RPH (PRES)
(319) 267-2505
Entity
Organization
Contact information
Practice address
106 E TRAER ST, GREENE, IA 50636-7702
(641) 816-4210
(641) 816-5847
Mailing address
PO BOX 584, GREENE, IA 50636-0584
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
563
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172148
—
IA
01
—
1616626
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
03/06/2013
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