Organization
FIVE STAR HEALTH SERVICES INC
Active
Other names
Five Star Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICK PAULEY (PHARMACIST)
(515) 252-7555
Entity
Organization
Contact information
Practice address
9379 SWANSON BLVD STE E, CLIVE, IA 50325-6942
(515) 252-7555
(515) 252-8848
Mailing address
9379 SWANSON BLVD STE E, CLIVE, IA 50325-6942
(515) 252-7555
(515) 252-8848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
1185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123417
PK
—
Enumeration date
01/14/2010
Last updated
08/15/2016
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