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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