Coon Rapids Pharmacy
LBN: Rural Rx Llc
Coon Rapids Pharmacy is an health care organization with primary practice located at 515 Main Street , Coon Rapids IA 50058. 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.
Rural Rx Llc can be contacted via phone (712) 999-6337, or through Youngblood, Samantha via phone (515) 386-2164.
Contact Information
Primary practice address
515 Main Street
Coon Rapids IA 50058
Phone: (712) 999-6337
Fax: (712) 999-7979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1336105634 |
|---|---|
| LBN Legal business name | Rural Rx Llc |
| DBA Doing business as | Coon Rapids Pharmacy |
| Authorized official | Youngblood, Samantha PHARM. D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 21st, 2023 - about 2 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 | 1336105634 | NPPES |
| Iowa | Other | 1613048 | NCPDP |
| Iowa | MEDICAID | 0190280 | NCPDP |
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