Organization
PRESCRIPTION SHOPPE TELEPHARMACY, LLC
Active
Other names
Nightingale Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NIGHTINGALE (TREASURER)
(702) 780-9548
Entity
Organization
Contact information
Practice address
139 N LAWLER ST, POSTVILLE, IA 52162
(563) 863-3666
(563) 863-3667
Mailing address
1020 12TH AVE SE, DYERSVILLE, IA 52040-1964
(563) 875-7455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1632
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711538
—
IA
01
—
2176730
PK
—
Enumeration date
01/05/2018
Last updated
03/21/2023
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