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KALLENBACH DRUG INC NPI 1609149749


NPI Information

NPI: 1609149749
Provider Name: KALLENBACH DRUG INC

Doing Business As: WIDNER DRUG STORE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
111 S FRANKLIN ST
MANCHESTER, IA
ZIP 52057
Phone: (563) 927-4755
Get Directions

KALLENBACH DRUG INC is a long term care pharmacy pharmacy in Manchester, 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. KALLENBACH DRUG INC NPI is 1609149749. The provider is registered as an organization entity type.
The provider Is Doing Business As Widner Drug Store.

The provider's business location address is:

111 S FRANKLIN ST
MANCHESTER, IA
ZIP 52057
Phone: (563) 927-4755
Fax: (563) 927-4110

The provider's authorized official is Jonathan Kallenbach .
The authorized official title is Owner- Pharmacist In Charge and has the following contact phone number (563) 927-4463.

The enumeration date for this NPI number is 2/21/2012 and was last updated on 5/16/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy188IOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11624205OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 5/5/2024

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