Organization
BOVY RX
Active
Other names
Parkersburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MICHAEL BOVY PHARMD (MANAGER)
(319) 788-7445
Entity
Organization
Contact information
Practice address
226 3RD STREET, PARKERSBURG, IA 50665-0330
(319) 346-1970
(319) 346-1585
Mailing address
PO BOX 330, PARKERSBURG, IA 50665-0330
(319) 346-1970
(319) 346-1585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
IA871
IA
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125997
—
IA
01
—
1109016
STATE CONTROLLED SUBSTANCE LICENSE
IA
01
—
1608162
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
5575
STATE PHARMACY LICENSE
IA
Enumeration date
01/08/2007
Last updated
08/11/2023
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