Organization
PELLA REGIONAL HEALTH CENTER
Active
Parent organization
PELLA REGIONAL HEALTH CENTER
Other names
Pella Regional Health Center Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELLA REGIONAL HEALTH CENTER
Authorized official
KENT P BREEMS PHARM D (DIRECTOR OF RETAIL PHARMACY)
(641) 628-1612
Entity
Organization
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219
(641) 628-6616
(641) 621-2357
Mailing address
405 MONROE ST, PELLA, IA 50219
(641) 621-2444
(641) 628-2164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/11/2017
Last updated
10/05/2021
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