Organization
WESTER DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LEE GARVIN MA, CRC, CPHT (CO-OWNER)
(563) 732-5238
Entity
Organization
Contact information
Practice address
400 OVESEN DRIVE, SUITE 102, WILTON, IA 52778
(563) 732-5238
(563) 732-5239
Mailing address
400 OVESEN DRIVE, SUITE 102, WILTON, IA 52778
(563) 732-5238
(563) 732-5239
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1252
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1252
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442078
—
IA
05
—
0442079
—
IA
05
—
1578612768
—
IA
Enumeration date
01/09/2007
Last updated
05/06/2022
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