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Contact Information

BAUDER PHARMACY
3802 INGERSOLL AVE
DES MOINES, IA50312-3413
 Phone: 515-255-1124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BAUDER PHARMACY

NPI Number 1801040720
LBN Legal business name BAUDER PHARMACY
Authorized official MARK GRAZIANO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2008
Last updated 11/05/2008 - About 18 years ago
Identifiers
IA License # 222
IA Medicaid 0037291
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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