Organization
MILFORD PHARMACY AND GIFTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WARTZ (OWNER PHARMACIST)
(712) 338-4865
Entity
Organization
Contact information
Practice address
1012 OKLOBOJI AVE, MILFORD, IA 51351-1375
(712) 338-4865
(712) 338-4822
Mailing address
1012 OKLOBOJI AVE, MILFORD, IA 51351-1375
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
224
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267278
—
IA
01
—
1615612
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/22/2020
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