Organization
IOLA PHARMACY INC.
Active
Other names
IOLA PHARMACY RESPIRATORY & MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D DIEKER RPH (OWNER)
(620) 365-3377
Entity
Organization
Contact information
Practice address
107 E MADISON AVE, IOLA, KS 66749-3330
(620) 365-3377
Mailing address
107 E MADISON AVE, IOLA, KS 66749-3330
(620) 365-3377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1-11211
KS
Other
Enumeration date
11/14/2006
Last updated
10/24/2007
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