Organization
SIOUXLAND MEDICAL EDUCATION FOUNDATION PHARMACY
Active
Organization
SIOUXLAND MEDICAL EDUCATION FOUNDATION PHARMACY
Active
Other names
Siouxland Medical Education Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WERNER (COO)
(712) 294-5000
Entity
Organization
Contact information
Practice address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Mailing address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
17710
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146191
—
IA
Enumeration date
05/25/2006
Last updated
08/22/2020
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