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Organization

OAKLAND PHARMACY INC

Active
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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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