Palmer Outpatient Pharmacy
Organization Active NPI Community/Retail Pharmacy · West Union, IA
NPI 1992915482 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992915482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 30 (IA)
- Legal business name
- PALMER OUTPATIENT PHARMACY
- Practice address
- 112 Jefferson St
West Union, IA 52175-1022 - Phone
- (563) 422-3811
- Fax
- (563) 422-9754
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Debrah Chensvold
- Title
- Ceo
- Phone
- (563) 422-3811
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Palmer Lutheran HLTH Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 30 | IA | Yes |
Addresses
Primary practice location
112 Jefferson St
West Union, IA 52175-1022
Mailing address
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0460899 | Medicaid | IA |
Other providers in West Union, IA
- Palmer Lutheran Health Center, Inc
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
- Palmer Lutheran Health Center, Inc.
- Autumnn Parmeter
- John William Pleggenkuhle
- John Sherman Powers
- Chaudri G Rasool
- Renal Treatment Centers-Illinois Inc.
All providers in West Union, 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 Aug 22, 2020. 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.