Organization
PHARMACY ON 8TH LLC
Active
Other names
Pharmacy on 8th
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA THERESA DE JESUS-ROETLIN (PHARMACY OWNER)
(319) 330-3154
Entity
Organization
Contact information
Practice address
221 8TH AVE, WELLMAN, IA 52356-4707
(319) 646-3388
(319) 646-3389
Mailing address
PO BOX 10, WELLMAN, IA 52356-0010
(319) 646-3388
(319) 646-3389
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1408
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108660
—
IA
01
—
2135428
PK
—
Enumeration date
06/20/2012
Last updated
01/17/2017
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