Provider Demographics
NPI:1801937917
Name:FOODS, INC
Entity type:Organization
Organization Name:FOODS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMCY MANAGER
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 1:5003 EP TRUE PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2852
Mailing Address - Country:US
Mailing Address - Phone:515-224-2111
Mailing Address - Fax:515-224-9176
Practice Address - Street 1:5003 EP TRUE PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2852
Practice Address - Country:US
Practice Address - Phone:515-224-2111
Practice Address - Fax:515-224-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA9833336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1617274OtherNCPDP
I20027OtherMEDICARE FLU ROSTER
IA0095984Medicaid
IA0095984Medicaid