Organization
REZ INC
Active
Other names
OWL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK REZNICEK (OWNER AND MANAGER)
(641) 437-7200
Entity
Organization
Contact information
Practice address
213 N 13TH ST, CENTERVILLE, IA 52544-1707
(641) 437-7200
(641) 437-7300
Mailing address
213 N 13TH ST, CENTERVILLE, IA 52544-1707
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
138
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076059
—
IA
01
—
2027502
PK
—
05
—
603116708
—
MO
05
—
623116712
—
MO
Enumeration date
08/17/2005
Last updated
06/16/2014
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