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PM ACQUISITION LLC NPI 1588900047


NPI Information

NPI: 1588900047
Provider Name: PM ACQUISITION, LLC

Doing Business As: NUCARA LTC PHARMACY #3

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 16D2205346

Address:
3526 DOLPHIN DR SE
SE
IOWA CITY, IA
ZIP 52240
Phone: (319) 337-8649
Get Directions

PM ACQUISITION, LLC is a long term care pharmacy pharmacy in Iowa City, 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 1588900047. The provider is registered as an organization entity type.
The provider Is Doing Business As Nucara Ltc Pharmacy #3.

The provider's business location address is:

3526 DOLPHIN DR SE
SE
IOWA CITY, IA
ZIP 52240-202
Phone: (319) 337-8649
Fax: (319) 337-8659

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 16D2205346 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2013 and was last updated on 4/3/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy1449IOWAYes

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
11588900047MEDICAIDIOWA

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: 4/28/2024

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