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Contact Information

REX PHARMACY INC.
317 MAIN ST
MANNING, IA51455
 Phone: 712-655-2665
 Fax: 712-655-2295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for REX PHARMACY INC.

NPI # 1518052612
LBN Legal business name REX PHARMACY INC.
Authorized official JOSHUA BORER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 10/18/2021 - About 5 years ago
Identifiers
IA License # 16
IA Medicaid 0050831
IA Other 140000941 MEDCOHEALTH ACCOUNT ID#
IA Other 1615511 NCPDP/NABP IDENTIFYER
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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