Organization
CONSULTANT PHARMACISTS INC
Active
Other names
Penn Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ETTLEMAN (PRESIDENT/CPHT)
(712) 374-2513
Entity
Organization
Contact information
Practice address
714 ILLINOIS ST, SIDNEY, IA 51652-8027
(712) 374-2513
(712) 374-3171
Mailing address
PO BOX 360, SIDNEY, IA 51652-0360
(712) 374-2513
(712) 374-3171
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073288
—
IA
Enumeration date
09/28/2018
Last updated
09/28/2018
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