Organization
KINGSLEY PHARMACY, INC
Active
Organization
KINGSLEY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA GREEN (PRESIDENT)
(712) 378-2700
Entity
Organization
Contact information
Practice address
7 WEST 2ND ST, KINGSLEY, IA 51028
(712) 378-2700
(712) 378-3692
Mailing address
7 WEST 2ND ST, PO BOX 280, KINGSLEY, IA 51028
(712) 378-2700
(712) 378-3692
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
64
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242206
—
IA
Enumeration date
01/04/2007
Last updated
08/23/2011
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