Provider Demographics
NPI:1386758357
Name:ALLIMONT PHARMACIES INC
Entity type:Organization
Organization Name:ALLIMONT PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOND
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:319-267-2505
Mailing Address - Street 1:PO BOX 584
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:IA
Mailing Address - Zip Code:50636-0584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 E TRAER ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:IA
Practice Address - Zip Code:50636-7702
Practice Address - Country:US
Practice Address - Phone:641-816-4210
Practice Address - Fax:641-816-5847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA5633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1172148Medicaid
1616626OtherNCPDP PROVIDER IDENTIFICATION NUMBER