Organization
TRP INC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REX TUTTLE (OWNER/RPH)
(563) 322-5973
Entity
Organization
Contact information
Practice address
3002 BRADY ST, DAVENPORT, IA 52803-1213
(563) 322-5973
(563) 324-9029
Mailing address
3002 BRADY ST, DAVENPORT, IA 52803-1213
(563) 322-5973
(563) 324-9029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604897
NCPDP PROVIDER IDENTIFICATION NUMBER
IA
Enumeration date
03/15/2006
Last updated
01/22/2009
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