Organization
CLINTON MEDICAL CLINIC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD W WHEELER RPH (PRESIDENT)
(563) 242-1724
Entity
Organization
Contact information
Practice address
221 MAIN AVE, CLINTON, IA 52732-2241
(563) 242-1724
(563) 243-8435
Mailing address
221 MAIN AVE, CLINTON, IA 52732-2241
(563) 242-1724
(563) 243-8435
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
75
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148676
—
IA
Enumeration date
08/04/2006
Last updated
06/27/2011
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