Organization
MCLD CORPORATION
Active
Other names
Village Pharmacy - Victor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PHILLIP TUETKEN (PHARMACIST / OWNER)
(319) 465-4906
Entity
Organization
Contact information
Practice address
205 WASHINGTON ST, VICTOR, IA 52347
(319) 647-3322
(319) 647-2382
Mailing address
205 WASHINGTON ST, VICTOR, IA 52347
(319) 647-3322
(319) 647-2382
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2005
Last updated
08/22/2020
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