Organization
P B R INC
Active
Other names
MED-EQUIP
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY J TSCHOPP RPH (OWNER)
(712) 728-2165
Entity
Organization
Contact information
Practice address
1310 18TH ST, SUITE B, SPIRIT LAKE, IA 51360-1150
(712) 336-1052
(712) 336-1057
Mailing address
PO BOX 28, HARTLEY, IA 51346-0028
(712) 728-2165
(712) 728-2805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
IA
Other
Enumeration date
06/04/2006
Last updated
08/27/2012
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