Organization
MONTROSS PHARMACY INC
Active
Other names
MONTROSS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF OLSON (PRESIDENT)
(515) 462-2282
Entity
Organization
Contact information
Practice address
134 W MAIN ST, SAINT CHARLES, IA 50240-7701
(641) 396-2445
(641) 396-2830
Mailing address
134 W MAIN ST, SAINT CHARLES, IA 50240-7701
(641) 396-2445
(641) 396-2830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
111
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014671
—
IA
01
—
2026849
PK
—
Enumeration date
10/13/2006
Last updated
12/01/2016
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