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Contact Information

PRESCRIPTION SHOPPE TELEPHARMACY, LLC
139 N LAWLER ST
POSTVILLE, IA52162
 Phone: 563-863-3666
 Fax: 563-863-3667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRESCRIPTION SHOPPE TELEPHARMACY, LLC

NPI Number 1982111415
LBN Legal business name PRESCRIPTION SHOPPE TELEPHARMACY, LLC
Authorized official ERIC NIGHTINGALE - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2018
Last updated 03/21/2023 - About 3 years ago
Identifiers
IA License # 1632
IA Medicaid 0711538
Other 2176730 PK
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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