Organization · Type 2 NPI

Pella Regional Health Center

Community/Retail Pharmacy · Prairie City, IA

NPI number 1033787445 Active

Practice location

404 E 2nd Street
Prairie City, IA 50228

Fax (515) 994-3013

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1033787445
Entity type: Organization (Type 2)
Issued: Jun 12, 2021
Last updated: Jun 12, 2021
Status: Active
Subpart: Yes of Pella Regional Health Center

Other names

Pella Regional Prairie City Pharmacy · doing business as

Authorized official

Kent P Breems, PHARM D
Retail Pharmacy Manager
(641) 628-1612

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033787445

Pella Regional Health Center's National Provider Identifier is 1033787445, issued on Jun 12, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Prairie City, IA. The record was last updated on Jun 12, 2021.