Organization
MAHASKA DRUG INC
Active
Organization
MAHASKA DRUG INC
Active
Other names
Mahaska Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANE M NICHOLSON RPH (OWNER/PHARMACIST)
(641) 673-3439
Entity
Organization
Contact information
Practice address
205 N E ST, OSKALOOSA, IA 52577-2016
(641) 673-3439
(641) 673-3945
Mailing address
205 N E ST, OSKALOOSA, IA 52577-2016
(641) 673-3439
(641) 673-3945
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
449
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097873
—
IA
01
—
1617402
NAPB
IA
Enumeration date
07/18/2006
Last updated
05/26/2020
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