Provider Demographics
NPI:1356374623
Name:FOODS, INC
Entity type:Organization
Organization Name:FOODS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-255-8642
Mailing Address - Street 1:8700 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4326
Mailing Address - Country:US
Mailing Address - Phone:515-276-8784
Mailing Address - Fax:515-331-3152
Practice Address - Street 1:8700 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4326
Practice Address - Country:US
Practice Address - Phone:515-276-8784
Practice Address - Fax:515-331-3152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA5773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1604138OtherNCPDP
IA0076471Medicaid
I20027OtherMEDICARE FLU ROSTER
I20027OtherMEDICARE FLU ROSTER
0792200008Medicare NSC