Organization
FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE RICHARD YODER RPH (PRESIDENT)
(563) 652-2511
Entity
Organization
Contact information
Practice address
805 W PLATT ST, MAQUOKETA, IA 52060-2071
(563) 652-2511
(563) 652-1874
Mailing address
805 W PLATT ST, MAQUOKETA, IA 52060-2071
(563) 652-2511
(563) 652-1874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
668
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079699
—
IA
Enumeration date
11/10/2006
Last updated
08/22/2020
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