Organization
PAMIDA STORES OPERATING CO LLC
Active
Other names
Pamida Pharmacy 697
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
100 N MAIN ST, SIGOURNEY, IA 52591-1414
(641) 622-3184
(641) 622-1054
Mailing address
100 N MAIN ST, SIGOURNEY, IA 52591-1414
(641) 622-3184
(641) 622-1054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
79
IA
3336C0003X
Community/Retail Pharmacy
Primary
79
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623506
NCPDP
—
05
—
1891944187
—
IA
Enumeration date
09/11/2008
Last updated
11/23/2009
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