Organization
KASSON DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KASSON RPH (PHARMACIST IN CHARGE OWNER)
(712) 868-3502
Entity
Organization
Contact information
Practice address
503 6TH ST, ARMSTRONG, IA 50514-0666
(712) 868-3502
(712) 868-3280
Mailing address
PO BOX 500, ARMSTRONG, IA 50514-0500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
IA640
IA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209890
—
IA
01
—
1610749
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
440097600
—
MN
Enumeration date
07/25/2006
Last updated
10/07/2008
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