Organization
VOGT PHARMACIES INC
Active
Other names
Ida Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VOGT RPH (PRESIDENT)
(402) 509-8777
Entity
Organization
Contact information
Practice address
506 2ND ST, IDA GROVE, IA 51445-1305
(712) 364-0000
(712) 364-2112
Mailing address
506 2ND ST, IDA GROVE, IA 51445-1305
(712) 364-0000
(712) 364-2112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1478
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142128
PK
—
Enumeration date
09/19/2013
Last updated
05/04/2015
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