Organization
AMANA SOCIETY
Active
Other names
Tiffin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF POPENHAGEN (DIRECTOR OF MARKETING AND RETAIL)
(319) 560-0308
Entity
Organization
Contact information
Practice address
1100 TALL GRASS AVE, TIFFIN, IA 52340-4753
(319) 545-3120
(319) 545-3127
Mailing address
PO BOX 189, AMANA, IA 52203-0189
(319) 560-0308
(319) 622-3090
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720435035
—
IA
01
—
2159967
PK
—
Enumeration date
05/17/2016
Last updated
07/27/2016
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