Organization
PANORA PHARMACY INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RANDEL RPH (PHARMACIST)
(641) 755-2312
Entity
Organization
Contact information
Practice address
615 E MAIN ST, PANORA, IA 50216-1097
(641) 755-2312
(641) 755-3773
Mailing address
PO BOX 216, PANORA, IA 50216-0216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IA
333600000X
Pharmacy
189
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090910
—
IA
01
—
1607071
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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