Provider Demographics
NPI:1982484291
Name:PHARMACY RELIEF SERVICES, PLLC
Entity Type:Organization
Organization Name:PHARMACY RELIEF SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/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 1:930 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5558
Mailing Address - Country:US
Mailing Address - Phone:319-331-2552
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:319-331-2552
Practice Address - Fax:888-241-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy