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Corydon Pharmacy Inc

Corydon Pharmacy Inc is a health care provider in Corydon, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 104 S Franklin St, Corydon, IA 50060-1518, US
Practice Location Phone641-872-2512
Practice Location Fax641-872-1078
Legal Business NameCORYDON PHARMACY INC
Other Organization NameNESSEN PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1336132588
Entity TypeOrganization
Enumeration Date ? Aug 23, 2005
Last Update Date ? Feb 16, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Corydon Pharmacy Inc

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy 595Iowa

legacy-id-icon Legacy Provider IDs of Corydon Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
1605469OtherNCPDP PROVIDER IDENTIFICATION NUMBER
085902IowaMedicaid
602208407MissouriMedicaid

official-icon Authorized Official of Corydon Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Corydon Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mark Nessen
Authorized Official Title/PositionPRESIDENT AND OWNER
Authorized Official Phone Number641-872-2512