Organization
REDLERS PROFESSIONAL PHARMACY INC
Active
Other names
REDLERS PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL REDLER RPH (PRESIDENT)
(402) 494-5542
Entity
Organization
Contact information
Practice address
1010 W 29TH ST, STE 208, S SIOUX CITY, NE 68776
(402) 494-5542
(402) 494-2207
Mailing address
1010 W 29TH ST, STE 208, S SIOUX CITY, NE 68776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1408
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970814
—
IA
01
—
2804741
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/22/2006
Last updated
09/15/2009
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