Individual
DR. CHARLES HARTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
157 LOCUST ST, DUBUQUE, IA 52001-7660
(563) 588-8702
Mailing address
703 MAIN ST, DUBUQUE, IA 52001-6814
(563) 588-8700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21040
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051293969
PHARMACIST LICENSE
IL
01
—
15704-040
PHARMACIST LICENSE
WI
01
—
21040
PHARMACIST LICENSE
IA
Enumeration date
06/02/2020
Last updated
06/08/2020
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