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Contact Information

RURAL RX LLC
515 MAIN STREET
COON RAPIDS, IA50058
 Phone: 712-999-6337
 Fax: 712-999-7979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RURAL RX LLC

NPI # 1336105634
LBN Legal business name RURAL RX LLC
Authorized official SAMANTHA YOUNGBLOOD - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2006
Last updated 12/21/2023 - About 2 years ago
Identifiers
IA Medicaid 0190280
IA Other 1613048 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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