Friendship Haven Pharmacy

LBN: Friendship Haven Pharmacy
Friendship Haven Pharmacy is an health care organization with primary practice located at 420 Kenyon Rd , Fort Dodge IA 50501-5749. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Friendship Haven Pharmacy can be contacted via phone (515) 573-6015, or through Conrad, Nicole via phone (515) 573-6015.

Contact Information

Primary practice address
420 Kenyon Rd Fort Dodge IA 50501-5749
Phone: (515) 573-6015
Fax: (515) 573-6029
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Nicole RPH
Phone: (515) 573-6015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 450 Iowa

Profile Details

NPI number 1700809407
LBN Legal business name Friendship Haven Pharmacy
DBA Doing business as Friendship Haven Pharmacy
Authorized official Conrad, Nicole RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 9th, 2016 - about 8 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 1700809407 NPPES
Iowa MEDICAID 0076646
Iowa Other 2026554

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