CORYDON PHARMACY INC
104 S Franklin St
Corydon, IA 50060
641-872-2512
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | IA | 595 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
085902 | IA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1605469 | OTHER | |
602208407 | MO | MEDICAID |