| Organization Name: | IOLA PHARMACY INC |
| NPI Number: | 1255445235 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM WALDEN (SECRETARY) |
| Mailing Address: | 113 E Madison Ave Iola |
| State: | KS US |
| Postal Code: | 667493330 |
| Phone Number: | 6203655555 |
| Fax Number: | 6203655555 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336M0003X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Managed Care Organization Pharmacy |
| Taxonomy Definition: | A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO |