PM ACQUISITION LLC NPI 1508339425

NPI Details

PM ACQUISITION, LLC is a long term care pharmacy pharmacy in Waterloo, IA. The provider is 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. PM ACQUISITION, LLC NPI is 1508339425. The provider is registered as an organization entity type.
The provider Is Doing Business As Nucara Ltc Pharmacy #4.

The provider's business location address is:

2039 CROSSROADS BLVD STE B
WATERLOO, IA
ZIP 50702-403
Phone: (319) 888-1724
Fax: (319) 888-1019

The provider's authorized official is Lori Willis .
The authorized official title is Acquisitions Manager and has the following contact phone number (641) 366-3440.

The CLIA number assigned to this NPI record is 16D2205362 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 1/3/2019 and was last updated on 3/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: