Provider Demographics
NPI:1932515228
Name:PHARMACY RELIEF SERVICES, PLLC
Entity Type:Organization
Organization Name:PHARMACY RELIEF SERVICES, PLLC
Other - Org Name:RX4PREVENTION, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:OSTREM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:319-331-2552
Mailing Address - Street 1:1010 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-1624
Mailing Address - Country:US
Mailing Address - Phone:888-235-2820
Mailing Address - Fax:888-241-8223
Practice Address - Street 1:1010 W MADISON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-1624
Practice Address - Country:US
Practice Address - Phone:888-235-2820
Practice Address - Fax:888-241-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy