Organization
DONLON DRUG, INC.
Active
Other names
Donlon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MAKER (OWNER)
(563) 382-3929
Entity
Organization
Contact information
Practice address
201 W WATER ST, DECORAH, IA 52101-1727
(563) 382-3929
(563) 382-9035
Mailing address
201 W WATER ST, DECORAH, IA 52101-1727
(563) 382-3929
(563) 382-9035
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
1495
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111944
—
IA
01
—
2161999
PK
—
Enumeration date
07/12/2016
Last updated
07/12/2016
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