Organization
REX PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BORER (PRESIDENT)
(712) 243-2110
Entity
Organization
Contact information
Practice address
317 MAIN ST, MANNING, IA 51455
(712) 655-2665
(712) 655-2295
Mailing address
1607 E. 7TH ST, ATLANTIC, IA 50022
(712) 243-2110
(712) 243-2064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
16
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050831
—
IA
01
—
140000941
MEDCOHEALTH ACCOUNT ID#
IA
01
—
1615511
NCPDP/NABP IDENTIFYER
IA
Enumeration date
10/04/2006
Last updated
10/18/2021
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