<Unavail>

LBN: Montross Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 134 W Main St , Saint Charles IA 50240-7701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Montross Pharmacy Inc can be contacted via phone (641) 396-2445, or through Olson, Jeff via phone (515) 462-2282.

Contact Information

Primary practice address
134 W Main St Saint Charles IA 50240-7701
Phone: (641) 396-2445
Fax: (641) 396-2830
Website:
Map and Directions
Authorized official contact:
Name: Olson, Jeff
Phone: (515) 462-2282

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 111 Iowa

Profile Details

NPI number 1740370667
LBN Legal business name Montross Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Olson, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740370667 NPPES
Other 2026849 PK
MEDICAID 014671 PK

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