Organization
MONTROSS PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GLENN JOBST RPH (RPH-MANAGER- PIC)
(515) 758-2174
Entity
Organization
Contact information
Practice address
115 N CHESTNUT AVE, EARLHAM, IA 50072-0008
(515) 758-2174
(515) 758-2188
Mailing address
PO BOX 8, EARLHAM, IA 50072-0008
(515) 758-2174
(515) 758-2188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
104
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138818
—
IA
01
—
1609900
NABP
IA
Enumeration date
01/26/2006
Last updated
12/10/2024
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