Provider Demographics
NPI:1508442138
Name:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Entity Type:Organization
Organization Name:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Other - Org Name:CRESCO FAMILY PHARMACY SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EFO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-547-2022
Mailing Address - Street 1:235 8TH AVE W
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1062
Mailing Address - Country:US
Mailing Address - Phone:563-563-2101
Mailing Address - Fax:563-547-3448
Practice Address - Street 1:303 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1843
Practice Address - Country:US
Practice Address - Phone:563-547-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-23
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy