Organization · NPI-2
Greenville Pharmacy INC
Pharmacy, Community/Retail Pharmacy · Sioux City, IA
NPI number1528137015
StatusActive
Last updated in NPPESOct 4, 2012
Details
- NPI
- 1528137015
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenville Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Oct 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 667 | IA | Yes |
Practice location
2701 Correctionville RdSioux City, IA 51105-3627
Phone 712-258-0113 · Fax 712-258-0351
Mailing address
2701 Correctionville RdSioux City, IA 51105-3627
Phone 712-258-0113 · Fax 712-258-0351
Authorized official
Robert P Rehal
Vp
7122580113
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