Organization
VAXITAXICOM, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY VILLHAUER PHARMD (OWNER)
(515) 368-2704
Entity
Organization
Contact information
Practice address
4105 NW 5TH ST, ANKENY, IA 50023-8710
(855) 829-4692
(855) 829-4692
Mailing address
4105 NW 5TH ST, ANKENY, IA 50023-8710
(515) 368-2704
(855) 829-4692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
10/30/2020
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