Organization
GREENWOOD DRUG, INC.
Active
Other names
Greenwood Compliance Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHN GREENWOOD BS PHARMACY (PIC/OWNER)
(319) 234-6673
Entity
Organization
Contact information
Practice address
2104 KIMBALL AVE, WATERLOO, IA 50702-5037
(319) 234-6673
(319) 226-5898
Mailing address
2104 KIMBALL AVE STE B, WATERLOO, IA 50702-5037
(319) 234-6673
(319) 274-9064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1635
IA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932642600
—
IA
Enumeration date
11/29/2016
Last updated
04/23/2021
Update your record
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