Organization
KRASKO ENTERPRISES INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERE KRASKO RPH (OWNER PHARMACIST)
(319) 283-2028
Entity
Organization
Contact information
Practice address
443 S FREDERICK AVE, OELWEIN, IA 50662-2504
(319) 283-2028
(319) 283-6653
Mailing address
443 S FREDERICK AVE, OELWEIN, IA 50662-2504
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
535
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167130
—
IA
01
—
1611830
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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