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General NPI Number Information
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NPI Number | 1972644847
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1200 UNIVERSITY AVE. SUITE 105
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City | DES MOINES
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State | IA
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Zip | 50314-2355
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Country | US
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Telephone | 515-262-0854
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Fax | 515-262-5089
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Provider Business Mailing Address
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Address Line | 1200 UNIVERSITY AVE STE 200
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City | DES MOINES
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State | IA
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Zip | 50314-2355
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Country | US
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Telephone | 515-248-1447
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Fax | 515-248-1440
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | NATHANIEL A SIMPSON
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Credential |
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Telephone | 515-248-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | BC8657047
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License Number State | IA
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