Taylor Pharmacy

LBN: Taylor Pharmacy Revoc Trust
Taylor Pharmacy is an health care organization with primary practice located at 122 124 North 16Th St , Clarinda IA 51632-1601. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Taylor Pharmacy Revoc Trust can be contacted via phone (712) 542-3522, or through Reed, Gordon C via phone (712) 542-3522.

Contact Information

Primary practice address
122 124 North 16Th St Clarinda IA 51632-1601
Phone: (712) 542-3522
Fax: (712) 542-2329
Website:
Map and Directions
Authorized official contact:
Name: Reed, Gordon C RPH
Phone: (712) 542-3522

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 145 Iowa

Profile Details

NPI number 1689717647
LBN Legal business name Taylor Pharmacy Revoc Trust
DBA Doing business as Taylor Pharmacy
Authorized official Reed, Gordon C RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689717647 NPPES
Pennsylvania MEDICAID 0019758000001
Pennsylvania MEDICAID 0036194
Pennsylvania MEDICAID 1604277
Pennsylvania MEDICAID 1604277
Pennsylvania MEDICAID 8530830
Pennsylvania MEDICAID 1604277

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