Organization
ADEL HEALTHMART INC
Active
Other names
ADEL HEALTHMART
Organization subpart
No
Provider details
NPI number
Authorized official
JANE CLAUSEN (OWNER)
(515) 993-3644
Entity
Organization
Contact information
Practice address
113 N 9TH ST, ADEL, IA 50003-1443
(515) 993-3644
(515) 993-4714
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
448
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609864818
—
IA
01
—
2025877
PK
—
Enumeration date
10/11/2005
Last updated
11/10/2020
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