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Organization

CAREMARK CARECENTER PHARMACY, L.L.C.

Active
Other names
Caremark Iowa CareCenter Pharmacy I, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORY J. ERNST R.PH. (PHARMACIST IN CHARGE)
(800) 225-5967
Entity
Organization

Contact information

Practice address
2901 86TH ST, SUITE 100, URBANDALE, IA 50322-4201
(515) 276-0073
(515) 276-9433
Mailing address
DEPARTMENT 6175, LOS ANGELES, CA 90088-6175
(800) 225-5967
(909) 799-4364

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1303
IA
3336C0003X
Community/Retail Pharmacy
Primary
1303
IA

Other

Enumeration date
01/08/2007
Last updated
08/20/2007
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