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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