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Organization

KINNE FAMILY PHARMACY INC

Active
Other names
Medical Associates Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY ANN KINNE PHARMD (PIC OWNER)
(515) 432-3460
Entity
Organization

Contact information

Practice address
120 S STORY ST, BOONE, IA 50036-4739
(515) 432-3460
(515) 432-7169
Mailing address
120 S STORY ST, SUITE C, BOONE, IA 50036-4739
(515) 432-3460
(515) 432-7169

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1473
IA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396782991
IA
01
2142371
PK
Enumeration date
06/01/2006
Last updated
04/21/2023
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