Organization
WOODLAWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE R KRAFT RPH (RPH, OWNER)
(712) 464-8811
Entity
Organization
Contact information
Practice address
101 N WOODLAWN AVE, LAKE CITY, IA 51449-1723
(712) 464-8811
(712) 464-8614
Mailing address
101 N WOODLAWN AVE, LAKE CITY, IA 51449-1723
(712) 464-8811
(712) 464-8614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0176280001
IA
3336C0003X
Community/Retail Pharmacy
Primary
517
IA
3336L0003X
Long Term Care Pharmacy
517
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007955
—
IA
Enumeration date
11/28/2006
Last updated
01/21/2016
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