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NPI Code Detail

MEDICARE: C R PHARMACY SERVICE INC

MEDICARE: C R PHARMACY SERVICE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1558782110
Entity Type Code : Organization
Provider Name (Legal Business Name) : C R PHARMACY SERVICE INC
Provider Business Mailing Address
First Line : 931 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5072
Country : US
Telephone Number : 563-242-2305
Fax Number : 563-242-4212
Provider Business Practice Location Address
First Line : 931 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5072
Country : US
Telephone Number : 563-242-2305
Fax Number : 563-242-4212
Authorized Official
Title or Position : CEO
Name : MRS. MICHELLE M. JENSEN
Credential :
Telephone Number : 319-363-4554
Provider Enumeration Date : 12/30/2013
Last Update Date : 07/31/2015

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Directions to “C R PHARMACY SERVICE INC ” Practice Location

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