Provider Information for 1417208547
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PHARMACY RELIEF SERVICES
Organization Subpart: NO
NPI: 1417208547
Last Updated: 2012-09-28
Certification Date:
Certification Date:
Details
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NPI | 1417208547 | ||||||||
Enumeration Date | 2012-09-28 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: Mr. PHILIP M OSTREM RPh Title: Owner Phone: 3193312552 | ||||||||
Mailing Address | 1043 ARLINGTON DR IOWA CITY, IA 52245-9229 United States Phone: 319-331-2552 | Fax:319-339-0399 | ||||||||
Primary Practice Address | 1043 ARLINGTON DR IOWA CITY, IA 52245-9229 United States Phone: 319-331-2552 | Fax:319-339-0399 | ||||||||
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