Organization
VOGT PHARMACIES INC
Active
Other names
PETERSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VOGT (OWNER/PRESIDENT/AO)
(319) 668-1664
Entity
Organization
Contact information
Practice address
514 ELM ST, WILLIAMSBURG, IA 52361-0360
(319) 668-1664
(319) 668-1664
Mailing address
PO BOX 360, WILLIAMSBURG, IA 52361-0360
(319) 668-1664
(319) 668-1667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1606
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176092
PK
—
Enumeration date
01/25/2006
Last updated
05/16/2018
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