Moville Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Moville, IA
NPI 1114963592 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1114963592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 57 (IA)
- Legal business name
- MOVILLE PHARMACY INC
- Practice address
- 216 Main St
Moville, IA 51039-7713 - Phone
- (712) 873-3401
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Deborah Carman, RPH
- Title
- Staff Pharmacist
- Phone
- (712) 873-3401
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 57 | IA | Yes |
Addresses
Primary practice location
216 Main St
Moville, IA 51039-7713
Mailing address
PO Box 525
Moville, IA 51039-0525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056523 | Medicaid | IA | |
| 1604164 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- MOVILLE PHARMACY INC
Other providers in Moville, IA
- Cinda Krause
- Byron Lee Linden
- Scott Linden
- Mercy Medical Services
- Moville Ambulance and Rescue Squad
- Ashley Lynn Pollema
- Sanford Health Network
- Vision Care Clinic PC
- Zach Wagner
- Woodbury Central CSD
All providers in Moville, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.