Organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Active
Other names
MCMH Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KLOEWER (ADMINISTRATOR/CEO)
(712) 623-7000
Entity
Organization
Contact information
Practice address
600 SENATE AVE, RED OAK, IA 51566-1283
(712) 623-1900
Mailing address
PO BOX 498, RED OAK, IA 51566-0498
(712) 623-7000
(712) 623-7224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220442
—
IA
01
—
1620788
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/25/2024
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