Organization
CREST PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE L LONG R. PH. (PHARMACIST)
(641) 782-3906
Entity
Organization
Contact information
Practice address
1418 170TH ST, CRESTON, IA 50801-8355
(641) 782-6125
(641) 782-6125
Mailing address
1418 170TH ST, CRESTON, IA 50801-8355
(641) 782-6125
(641) 782-6125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211060
—
IA
Enumeration date
07/16/2006
Last updated
02/08/2010
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