Provider Demographics
NPI:1275611907
Name:KEWI INC.
Entity Type:Organization
Organization Name:KEWI INC.
Other - Org Name:WRIGHT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUMP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:515-523-1525
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250-0159
Mailing Address - Country:US
Mailing Address - Phone:515-523-1525
Mailing Address - Fax:515-523-1451
Practice Address - Street 1:303 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-2164
Practice Address - Country:US
Practice Address - Phone:515-523-1525
Practice Address - Fax:515-523-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0547370001Medicare NSC