Organization
MCLD CORPORATION
Active
Other names
PHILCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS TUETKEN (OWNER PRESIDENT)
(319) 465-4906
Entity
Organization
Contact information
Practice address
207 2ND AVE SE STE B, CEDAR RAPIDS, IA 52401-1238
(319) 221-1050
(319) 221-1052
Mailing address
207 2ND AVE SE, SUITE B, CEDAR RAPIDS, IA 52401-1238
(319) 221-1050
(319) 221-1052
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1316
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588867998
—
IA
01
—
1623075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/06/2007
Last updated
04/30/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up