Organization
KALLENBACH DRUG INC
Active
Other names
Widner Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KALLENBACH PHARM D (OWNER- PHARMACIST IN CHARGE)
(563) 927-4463
Entity
Organization
Contact information
Practice address
111 S FRANKLIN ST, MANCHESTER, IA 52057
(563) 927-4755
(563) 927-4110
Mailing address
PO BOX 99, MANCHESTER, IA 52057-0099
(563) 927-4755
(563) 927-4110
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
188
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1624205
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2012
Last updated
05/16/2018
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