Organization
GREENWOOD DRUG INC
Active
Other names
GREENWOOD DRUG, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PATRICK GREENWOOD PHARM.D (PRESIDENT/PIC)
(319) 236-8067
Entity
Organization
Contact information
Practice address
2104 KIMBALL AVE, WATERLOO, IA 50702-5037
(319) 234-6673
(319) 226-5898
Mailing address
2104 KIMBALL AVE, WATERLOO, IA 50702-5037
(319) 234-6673
(319) 226-5898
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
334
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208965
—
IA
05
—
1811084056
—
IA
01
—
2134076
PK
—
Enumeration date
10/09/2006
Last updated
12/13/2024
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