Healthcare Provider Details

I. General information

NPI: 1386758357
Provider Name (Legal Business Name): ALLIMONT PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E TRAER ST
GREENE IA
50636-7702
US

IV. Provider business mailing address

PO BOX 584
GREENE IA
50636-0584
US

V. Phone/Fax

Practice location:
  • Phone: 641-816-4210
  • Fax: 641-816-5847
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number563
License Number StateIA

VIII. Authorized Official

Name: JOAN MOND
Title or Position: PRES
Credential: RPH
Phone: 319-267-2505