Organization
PALMER OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRAH CHENSVOLD (CEO)
(563) 422-3811
Entity
Organization
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
(563) 422-9754
Mailing address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
(563) 422-9754
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460899
—
IA
Enumeration date
05/23/2007
Last updated
08/22/2020
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