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Organization
KST GROUP, LLC
Active
Organization
KST GROUP, LLC
Active
Other names
Serviam Pharmacy of Sioux City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CHRISTIANS R.PH. (MANAGING PARTNER)
(319) 331-7795
Entity
Organization
Contact information
Practice address
2442 TRANSIT AVE, SIOUX CITY, IA 51106-1447
(712) 224-4040
(712) 224-4043
Mailing address
2442 TRANSIT AVE, SIOUX CITY, IA 51106-1447
(712) 224-4040
(712) 224-4043
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1311
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741629
—
IA
Enumeration date
01/09/2007
Last updated
06/26/2023
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