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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