Organization
PHARMACY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J MCNULTY R.PH. (PRESIDENT)
(515) 669-6571
Entity
Organization
Contact information
Practice address
1109 TRADITION DR, POLK CITY, IA 50226-1220
(515) 669-6571
(866) 875-1792
Mailing address
1109 TRADITION DR, POLK CITY, IA 50226-1220
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
1341
IA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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