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Organization

SUN DRUG VILLAGE SQUARE LTD

Active
Other names
Sun Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN H STRAW R.PH. (PRESIDENT)
(515) 278-5503
Entity
Organization

Contact information

Practice address
6105 MERLE HAY RD, JOHNSTON, IA 50131-1224
(515) 278-5503
(515) 254-2242
Mailing address
6105 MERLE HAY RD, PO BOX 288, JOHNSTON, IA 50131-1224
(515) 278-5503
(515) 254-2242

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
842
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0197061
IA
01
1613240
NCPDP
Enumeration date
11/24/2006
Last updated
06/30/2008
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