Organization
FREDERICK C AND ANN M MARCALUS
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED C MARCALUS (PHARMACIST)
(515) 838-2322
Entity
Organization
Contact information
Practice address
803 SHAKESPEARE ST., STRATFORD, IA 50249
(515) 838-2322
(515) 838-2666
Mailing address
803 SHAKESPEARE ST., STRATFORD, IA 50249
(515) 838-2322
(515) 838-2666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
679
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1280280002
—
IA
Enumeration date
10/12/2006
Last updated
10/08/2008
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