Organization
DR MAMAE INC
Active
Organization
DR MAMAE INC
Active
Other names
One to One Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCDANEL (VP)
(319) 656-3134
Entity
Organization
Contact information
Practice address
214 5TH ST, KALONA, IA 52247
(319) 656-3134
(319) 656-3165
Mailing address
PO BOX 337, KALONA, IA 52247-0337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
273
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250837
—
IA
01
—
1608287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/06/2006
Last updated
03/21/2022
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