Clinton Medical Clinic Pharmacy Inc

LBN: Clinton Medical Clinic Pharmacy Inc
Clinton Medical Clinic Pharmacy Inc is an health care organization with primary practice located at 221 Main Ave , Clinton IA 52732-2241. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Clinton Medical Clinic Pharmacy Inc can be contacted via phone (563) 242-1724, or through Wheeler, Gerald W via phone (563) 242-1724.

Contact Information

Primary practice address
221 Main Ave Clinton IA 52732-2241
Phone: (563) 242-1724
Fax: (563) 243-8435
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Gerald W RPH
Phone: (563) 242-1724

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 75 Iowa

Profile Details

NPI number 1710995758
LBN Legal business name Clinton Medical Clinic Pharmacy Inc
DBA Doing business as
Authorized official Wheeler, Gerald W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 27th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710995758 NPPES
Iowa MEDICAID 0148676

Popular Providers