Organization
MANSMITH PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK M. ANLIKER PHARMACIST (PHARMACIST IN CHARGE)
(712) 852-2727
Entity
Organization
Contact information
Practice address
3204 1ST ST, EMMETSBURG, IA 50536-2515
(712) 852-2727
(712) 852-2975
Mailing address
3204 1ST ST, EMMETSBURG, IA 50536-2515
(712) 852-2727
(712) 852-2975
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
764
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259499
—
IA
01
—
1602184
NCPDP
—
Enumeration date
12/05/2006
Last updated
01/11/2008
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