Provider Demographics
NPI:1851712376
Name:MONTE PHARMACIES LLC
Entity Type:Organization
Organization Name:MONTE PHARMACIES LLC
Other - Org Name:MEDICAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZOSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-752-7139
Mailing Address - Street 1:11 N 3RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158
Mailing Address - Country:US
Mailing Address - Phone:641-752-7139
Mailing Address - Fax:
Practice Address - Street 1:323 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:IA
Practice Address - Zip Code:50171
Practice Address - Country:US
Practice Address - Phone:641-623-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy