Des Moines Central Correctional Pharmacy

LBN: Des Moines Central Correctional Pharmacy
Des Moines Central Correctional Pharmacy is an health care organization with primary practice located at 250 Elm Ave Sw , Mitchellville IA 50169-9610. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Des Moines Central Correctional Pharmacy can be contacted via phone (515) 725-5065, or through Lee, Kathy via phone (515) 725-5065.

Contact Information

Primary practice address
250 Elm Ave Sw Mitchellville IA 50169-9610
Phone: (515) 725-5065
Fax: (515) 725-5070
Website:
Map and Directions
Authorized official contact:
Name: Lee, Kathy
Phone: (515) 725-5065

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 1456 Iowa

Profile Details

NPI number 1235635285
LBN Legal business name Des Moines Central Correctional Pharmacy
DBA Doing business as Des Moines Central Correctional Pharmacy
Authorized official Lee, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2018
Last updated Mar 30th, 2018 - about 7 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 1235635285 NPPES
Other 2176604 PK

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