Organization
IOWA SPECIALTY HOSPITAL - CLARION
Active
Organization
IOWA SPECIALTY HOSPITAL - CLARION
Active
Other names
Iowa Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SIMINON (CEO)
(515) 532-9333
Entity
Organization
Contact information
Practice address
215 13TH AVE SW, CLARION, IA 50525-2078
(515) 532-2801
(515) 532-9321
Mailing address
215 13TH AVE SW, CLARION, IA 50525-2078
(515) 532-2801
(515) 532-9321
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
362
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170126
—
IA
01
—
0381980001
PTAN
IA
Enumeration date
11/21/2006
Last updated
06/21/2024
Update your record
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