Organization
PRESCRIPTION SHOPPE, INC.
Active
Other names
Nightingale Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NIGHTINGALE (TREASURER)
(702) 780-9548
Entity
Organization
Contact information
Practice address
1020 12TH AVE SE, DYERSVILLE, IA 52040-1919
(563) 875-7455
(563) 875-7450
Mailing address
1020 12TH AVE SE, DYERSVILLE, IA 52040
(563) 875-7455
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19568
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438804
—
IA
Enumeration date
05/11/2017
Last updated
03/13/2023
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