Healthcare Provider Details

I. General information

NPI: 1154366334
Provider Name (Legal Business Name): ROCK VALLEY PHCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 MAIN ST
ROCK VALLEY IA
51247-1224
US

IV. Provider business mailing address

1418 MAIN ST
ROCK VALLEY IA
51247-1224
US

V. Phone/Fax

Practice location:
  • Phone: 712-476-5171
  • Fax: 712-476-2254
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number275
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DELBERT KUCHLACK
Title or Position: PRESIDENT
Credential: RPH
Phone: 712-476-5171