Organization
SIOUXLAND COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA HAHN RP (OWNER)
(712) 224-6337
Entity
Organization
Contact information
Practice address
4501 SOUTHERN HILLS DR, SUITE 3, SIOUX CITY, IA 51106-4769
(712) 224-6337
Mailing address
4501 SOUTHERN HILLS DR, SUITE 3, SIOUX CITY, IA 51106-4769
(712) 224-6337
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
1505
IA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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