Organization
CENTRAL CITY FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MANDERSCHEID PHARMD (PRESIDENT)
(319) 438-1988
Entity
Organization
Contact information
Practice address
402 E MAIN ST, CENTRAL CITY, IA 52214-9454
(319) 438-1988
(319) 438-1094
Mailing address
PO BOX 368, CENTRAL CITY, IA 52214-0368
(319) 438-1988
(319) 438-1094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
797
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061689
—
IA
01
—
1616258
OTHER ID NUMBER
—
Enumeration date
01/13/2006
Last updated
04/12/2021
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