Organization
RURAL RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE YOUNGBLOOD (OWNER)
(515) 386-2164
Entity
Organization
Contact information
Practice address
400 N ELM ST, JEFFERSON, IA 50129-1420
(515) 386-2164
(515) 386-8521
Mailing address
400 N ELM ST, JEFFERSON, IA 50129-1420
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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