Organization
PHARMACY ASSOCIATES OF CARROLL,INC
Active
Other names
Carroll Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SEGEBART PHARM D. (PHARMACY MANAGER)
(712) 792-3212
Entity
Organization
Contact information
Practice address
405 S CLARK ST, SUITE 150, CARROLL, IA 51401-3065
(712) 792-3212
(712) 792-0160
Mailing address
405 S CLARK ST STE 150, PO BOX 157, CARROLL, IA 51401-3066
(712) 792-3212
(712) 792-0160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
353
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118034
—
IA
Enumeration date
08/24/2005
Last updated
09/13/2010
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