Organization
OSTERHAUS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT OSTERHAUS RPH (OWNER-MANAGER)
(563) 652-5611
Entity
Organization
Contact information
Practice address
918 W PLATT ST, SUITE 2, MAQUOKETA, IA 52060-2038
(563) 652-5611
(563) 652-6242
Mailing address
124 S MAIN ST, MAQUOKETA, IA 52060-3034
(563) 652-5611
(563) 652-6242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
22
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178608
—
IA
Enumeration date
01/08/2007
Last updated
09/17/2008
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