Provider Demographics
NPI:1013207661
Name:FOODS INC
Entity Type:Organization
Organization Name:FOODS INC
Other - Org Name:DAHLS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:515-276-4845
Mailing Address - Street 1:3121 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4384
Mailing Address - Country:US
Mailing Address - Phone:515-817-2879
Mailing Address - Fax:515-233-5499
Practice Address - Street 1:3121 GRAND AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4384
Practice Address - Country:US
Practice Address - Phone:515-817-2879
Practice Address - Fax:515-233-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-17
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy