Organization
C R PHARMACY SERVICE INC
Active
Other names
CarePro Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M. JENSEN (CEO)
(319) 363-4554
Entity
Organization
Contact information
Practice address
402 10TH ST SE, SUITE 600, CEDAR RAPIDS, IA 52403-2459
(319) 298-0953
(319) 298-0954
Mailing address
402 10TH ST SE, SUITE 600, CEDAR RAPIDS, IA 52403-2459
(319) 298-0953
(319) 298-0954
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5641
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159772
—
IA
Enumeration date
05/11/2006
Last updated
07/31/2015
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