Organization
IOLA PHARMACY INC
Active
Other names
IOLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DIEKER RPH (PARTNER/OWNER)
(620) 365-3176
Entity
Organization
Contact information
Practice address
109 E MADISON AVE, IOLA, KS 66749-3330
(620) 365-3176
(620) 365-5111
Mailing address
109 E MADISON AVE, IOLA, KS 66749-3330
(620) 365-3176
(620) 365-5111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-09461
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080440A
—
KS
01
—
2031296
PK
—
Enumeration date
08/18/2006
Last updated
10/08/2019
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