Healthcare Provider Details

I. General information

NPI: 1932657459
Provider Name (Legal Business Name): DUTCH MILL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 8TH ST SE
ORANGE CITY IA
51041-1984
US

IV. Provider business mailing address

512 8TH ST SE
ORANGE CITY IA
51041-1984
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-4919
  • Fax: 712-737-4969
Mailing address:
  • Phone: 712-737-4919
  • Fax: 712-737-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1581
License Number StateIA

VIII. Authorized Official

Name: BRENT PLENDER
Title or Position: PHARMACIST
Credential:
Phone: 712-737-4844