Organization
GREENVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P REHAL PHARMACIST (VP)
(712) 258-0113
Entity
Organization
Contact information
Practice address
2701 CORRECTIONVILLE RD, SIOUX CITY, IA 51105-3627
(712) 258-0113
(712) 258-0351
Mailing address
2701 CORRECTIONVILLE RD, SIOUX CITY, IA 51105-3627
(712) 258-0113
(712) 258-0351
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
667
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056531
—
IA
Enumeration date
11/07/2006
Last updated
10/04/2012
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