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Contact Information

GLENWOOD RESOURCE CENTER
711 S VINE ST
ATTN: PHARMACY
GLENWOOD, IA51534-1927
 Phone: 712-525-1316
 Fax: 712-525-1262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GLENWOOD RESOURCE CENTER

NPI Number 1669414447
LBN Legal business name GLENWOOD RESOURCE CENTER
Authorized official GARY ANDERS - (SUPERINTENDENT OF FACILITY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 09/04/2014 - About 12 years ago
Identifiers
IA License # 559
IA Medicaid 0140103
Other 2029593 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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