Organization
MR PHARMACY LLC
Active
Organization
MR PHARMACY LLC
Active
Other names
Ankeny Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKFORD ANDERSON RPH (OWNER, PIC, AO)
(515) 289-4008
Entity
Organization
Contact information
Practice address
1325 SW ORALABOR RD, STE 200, ANKENY, IA 50023-8046
(515) 289-4008
(515) 289-2383
Mailing address
1325 SW ORALABOR RD, STE 200, ANKENY, IA 50023-8046
(515) 289-4008
(515) 289-2383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1475
IA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141512
PK
—
Enumeration date
08/02/2013
Last updated
01/18/2017
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