Organization
PLEASANTVILLE CLINIC
Active
Organization
PLEASANTVILLE CLINIC
Active
Parent organization
PLEASANTVILLE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLEASANTVILLE CLINIC
Authorized official
BRANDI BOOTH (CLINIC DIRECTOR)
(952) 653-2525
Entity
Organization
Contact information
Practice address
104 N WASHINGTON ST, PLEASANTVILLE, IA 50225-9312
(952) 653-2525
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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