Organization
HARTIG DRUG CO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S HARTIG PHARMD, JD (CEO)
(563) 588-8700
Entity
Organization
Contact information
Practice address
22 1ST AVE NW, WAUKON, IA 52172-1630
(563) 568-2628
(563) 568-4855
Mailing address
703 MAIN ST, DUBUQUE, IA 52001-6814
(563) 588-8700
(563) 588-8750
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1376
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740592591
—
IA
Enumeration date
07/09/2010
Last updated
08/05/2021
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