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MCLD CORPORATION NPI 1588867998


NPI Information

NPI: 1588867998
Provider Name: MCLD CORPORATION

Doing Business As: PHILCARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
207 2ND AVE SE STE B
CEDAR RAPIDS, IA
ZIP 52401
Phone: (319) 221-1050
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MCLD CORPORATION is a long term care pharmacy pharmacy in Cedar Rapids, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MCLD CORPORATION NPI is 1588867998. The provider is registered as an organization entity type.
The provider Is Doing Business As Philcare Pharmacy.

The provider's business location address is:

207 2ND AVE SE STE B
CEDAR RAPIDS, IA
ZIP 52401-238
Phone: (319) 221-1050
Fax: (319) 221-1052

The provider's authorized official is Chris Tuetken .
The authorized official title is Owner President and has the following contact phone number (319) 465-4906.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 4/30/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy1316IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10543810012MEDICARE NSC
21623075OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
31588867998MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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