Organization
INDIAN HILLS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL WAYNE SIMMONDS RP (OWNER)
(712) 255-9150
Entity
Organization
Contact information
Practice address
1551 INDIAN HILLS DR, STE 101, SIOUX CITY, IA 51104-1859
(712) 255-9150
(712) 255-2946
Mailing address
1551 INDIAN HILLS DR, STE 101, SIOUX CITY, IA 51104-1859
(712) 255-9150
(712) 255-2946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
260
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142646
—
IA
Enumeration date
12/03/2006
Last updated
02/05/2008
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