Provider Information for 1932642600
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GREENWOOD DRUG, INC.
Other Names:Doing Business As:GREENWOOD COMPLIANCE PHARMACYOrganization Subpart: NO
NPI: 1932642600
Last Updated: 2021-04-23
Certification Date: 2021-04-23
Certification Date: 2021-04-23
Details
Name | Value | ||||||||||||
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NPI | 1932642600 | ||||||||||||
Enumeration Date | 2016-11-29 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: Mr. ROBERT JOHN GREENWOOD BS Pharmacy Title: PIC/Owner Phone: 3192346673 | ||||||||||||
Mailing Address | 2104 KIMBALL AVE STE B WATERLOO, IA 50702-5037 United States Phone: 319-234-6673 | Fax:319-274-9064 | ||||||||||||
Primary Practice Address | 2104 KIMBALL AVE WATERLOO, IA 50702-5037 United States Phone: 319-234-6673 | Fax:319-226-5898 | ||||||||||||
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