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Provider Information for 1417208547


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PHARMACY RELIEF SERVICES

Organization Subpart: NO

NPI: 1417208547
Last Updated: 2012-09-28
Certification Date:

Details

NameValue
NPI1417208547
Enumeration Date2012-09-28
NPI TypeNPI-2 Organization
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 333600000X - Pharmacy