Organization
REGIONAL ENTERPRISES INC
Active
Other names
Ottumwa Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RECUPERO (CFO)
(641) 684-2585
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 684-2462
Mailing address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 684-2462
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135756
—
IA
Enumeration date
11/16/2006
Last updated
08/22/2020
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