Organization
PAMIDA STORES OPERATING CO LLC
Active
Other names
Pamida Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
1012 JEFFREYS DR, OSCEOLA, IA 50213-9500
(641) 342-1568
(641) 342-1606
Mailing address
1012 JEFFREYS DR, OSCEOLA, IA 50213-9500
(641) 342-1568
(641) 342-1606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1298
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495887
—
IA
01
—
1622756
NCPDP
—
Enumeration date
06/17/2006
Last updated
11/23/2009
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