Organization
CALTON V AND S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD CALTON (OWNER)
(319) 824-3211
Entity
Organization
Contact information
Practice address
624 G AVE, GRUNDY CENTER, IA 50638-1550
(319) 824-3211
(319) 825-3211
Mailing address
624 G AVE, GRUNDY CENTER, IA 50638-1550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
673
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168096
—
IA
01
—
1611880
OTHER ID NUMBER
—
Enumeration date
01/17/2007
Last updated
09/12/2007
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