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Organization

KALLENBACH DRUG INC

Active
Other names
Widner Drug
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN KALLENBACH PHARMD (OWNER/PHARMACIST)
(563) 249-5679
Entity
Organization

Contact information

Practice address
111 S FRANKLIN ST, MANCHESTER, IA 52057-2132
(563) 249-5679
Mailing address
121 CIRCLE DR, MANCHESTER, IA 52057-1303
(563) 249-5679

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1617
IA

Other

Enumeration date
10/29/2017
Last updated
10/29/2017
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