Greenwood Drug On Kimball Ave.
LBN: Greenwood Drug Inc
Greenwood Drug On Kimball Ave. is an health care organization with primary practice located at 2104 Kimball Ave , Waterloo IA 50702-5037. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Greenwood Drug Inc can be contacted via phone (319) 234-6673, or through Greenwood, Robert John via phone (319) 234-6673.
Contact Information
Primary practice address
2104 Kimball Ave
Waterloo IA 50702-5037
Phone: (319) 234-6673
Fax: (319) 226-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 334 | Iowa |
Profile Details
| NPI number | 1811084056 |
|---|---|
| LBN Legal business name | Greenwood Drug Inc |
| DBA Doing business as | Greenwood Drug On Kimball Ave. |
| Authorized official | Greenwood, Robert John BS.PHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811084056 | NPPES |
| Iowa | MEDICAID | 0208965 | |
| Iowa | MEDICAID | 1811084056 | |
| Iowa | Other | 2134076 |
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