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Contact Information

DES MOINES CENTRAL CORRECTIONAL PHARMACY
250 ELM AVE SW
MITCHELLVILLE, IA50169-9610
 Phone: 515-725-5065
 Fax: 515-725-5070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DES MOINES CENTRAL CORRECTIONAL PHARMACY

NPI Number 1235635285
LBN Legal business name DES MOINES CENTRAL CORRECTIONAL PHARMACY
Authorized official KATHY LEE - (PHARMACY SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2018
Last updated 03/30/2018 - About 8 years ago
Identifiers
IA License # 1456
Other 2176604 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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