Organization
OAKLAND PHARMACY INC
Active
Other names
Oakland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FULLER (PRESIDENT)
(515) 321-7644
Entity
Organization
Contact information
Practice address
601 PIONEER AVE, OAKLAND, IA 51560
(712) 482-3015
Mailing address
PO BOX 637, OAKLAND, IA 51560-0637
(712) 482-3015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
159
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081174
—
IA
01
—
159
STATE LICENSE
IA
Enumeration date
12/18/2006
Last updated
11/14/2024
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