Organization
TOPKO OF DENISON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA LYNN BENNING (OFFICE MANAGER)
(712) 263-8464
Entity
Organization
Contact information
Practice address
1401 BROADWAY, DENISON, IA 51442
(712) 263-8464
(712) 263-2430
Mailing address
1401 BROADWAY, DENISON, IA 51442
(712) 263-8464
(712) 263-2430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
428
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191924
—
IA
01
—
19192
WELLMARK INS
IA
Enumeration date
05/23/2006
Last updated
01/11/2011
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