Organization · Type 2 NPI

Kallenbach Drug Inc

Long Term Care Pharmacy · Manchester, IA

NPI number 1609149749 Active

Practice location

111 S Franklin St
Manchester, IA 52057

Call (563) 927-4755 Map

Fax (563) 927-4110

Mailing address

PO Box 99
Manchester, IA 52057-0099

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	188 (IA)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Manchester

Brehme Drug IncLong Term Care Pharmacy Manchester, IA NPI 1437761848

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NPI record

NPI: 1609149749
Entity type: Organization (Type 2)
Issued: Feb 21, 2012
Last updated: May 16, 2018
Status: Active

Other names

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Widner Drug Store · doing business as
Widner Drug Store · doing business as

Authorized official

Dr. Jonathan Kallenbach, PHARM D
Owner- Pharmacist In Charge
(563) 927-4463

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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 1609149749

Kallenbach Drug Inc's National Provider Identifier is 1609149749, issued on Feb 21, 2012. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Manchester, IA. The record was last updated on May 16, 2018.