Organization
FREDERICK C & ANN M MARCALUS
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARCALUS (PHARMACIST)
(515) 827-5134
Entity
Organization
Contact information
Practice address
633 MAIN ST, JEWELL, IA 50130-0070
(515) 827-5134
(515) 827-5776
Mailing address
633 MAIN ST, PO BOX 70, JEWELL, IA 50130-0070
(515) 827-5134
(515) 827-5776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
99
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147173
—
IA
Enumeration date
11/06/2006
Last updated
08/10/2011
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