Provider Demographics
NPI:1538235304
Name:DOWD DRUG INC.
Entity type:Organization
Organization Name:DOWD DRUG INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIESTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-747-8317
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-0099
Mailing Address - Country:US
Mailing Address - Phone:641-747-8317
Mailing Address - Fax:641-747-3217
Practice Address - Street 1:307 STATE ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1351
Practice Address - Country:US
Practice Address - Phone:641-747-8317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-25
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA753333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0065938Medicaid
IA0783890001Medicare ID - Type Unspecified