Organization
TAZ PHARMACIES CR, LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM J ZOSKE (MEMBER)
(641) 752-7139
Entity
Organization
Contact information
Practice address
2030 6TH ST SW, CEDAR RAPIDS, IA 52404-3564
(319) 364-6930
(319) 261-0114
Mailing address
11 N 3RD AVE, BOX 696, MARSHALLTOWN, IA 50158-1815
(641) 752-7139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
746
IA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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