Organization
GARDNER DRUG INC
Active
Other names
Toms Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOM DEUTSCH (PRESIDENT)
(641) 394-4131
Entity
Organization
Contact information
Practice address
15 E MAIN ST, NEW HAMPTON, IA 50659-2115
(641) 394-4131
(641) 394-4599
Mailing address
15 E MAIN ST, PO BOX 309, NEW HAMPTON, IA 50659-2115
(641) 394-4131
(641) 394-4599
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011130
—
IA
Enumeration date
10/04/2006
Last updated
01/08/2008
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