Organization
EAGLE GROVE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J WAGNER (PHARMACY OWNER)
(515) 448-3814
Entity
Organization
Contact information
Practice address
311 W BROADWAY ST, EAGLE GROVE, IA 50533-1711
(515) 448-3814
(855) 860-9089
Mailing address
PO BOX 331, EAGLE GROVE, IA 50533-0331
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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