Carruthers Pharmacy

LBN: Carruthers Pharmacy Pc
Carruthers Pharmacy is an health care organization with primary practice located at 526 Main St , Mediapolis IA 52637-7788. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Carruthers Pharmacy Pc can be contacted via phone (319) 394-3420, or through Mohr, Shannon via phone (319) 394-3420.

Contact Information

Primary practice address
526 Main St Mediapolis IA 52637-7788
Phone: (319) 394-3420
Fax: (319) 394-3426
Website:
Map and Directions
Authorized official contact:
Name: Mohr, Shannon
Phone: (319) 394-3420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 235 Iowa
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164466793
LBN Legal business name Carruthers Pharmacy Pc
DBA Doing business as Carruthers Pharmacy
Authorized official Mohr, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164466793 NPPES
Iowa MEDICAID 0099283
Iowa Other 2027601

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