Organization
PELLA REGIONAL HEALTH CENTER
Active
Parent organization
PELLA REGIONAL HEALTH CENTER
Other names
Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELLA REGIONAL HEALTH CENTER
Authorized official
ROBERT D KROESE (CEO)
(641) 628-6604
Entity
Organization
Contact information
Practice address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 628-3150
(641) 628-8901
Mailing address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 628-3150
(641) 628-8901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
268
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213298
—
IA
01
—
1620550
NCPDP #
IA
01
—
268
LICENSE #
IA
Enumeration date
07/26/2006
Last updated
03/07/2023
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