Healthcare Provider Details

I. General information

NPI: 1215087531
Provider Name (Legal Business Name): JOSI LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W WASHINGTON ST
MT PLEASANT IA
52641-2150
US

IV. Provider business mailing address

300 W WASHINGTON ST
MT PLEASANT IA
52641-2150
US

V. Phone/Fax

Practice location:
  • Phone: 319-986-5151
  • Fax: 319-986-5650
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number836
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number836
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GARY BRAMMER
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 319-986-5151