Organization
KST GROUP, LLC
Active
Other names
Serviam Pharmacy of Sioux City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CHRISTIANS R.PH. (MANAGING PARTNER)
(319) 331-7795
Entity
Organization
Contact information
Practice address
2442 TRANSIT AVE, SIOUX CITY, IA 51106-1447
(712) 224-4040
(712) 224-4043
Mailing address
2442 TRANSIT AVE, SIOUX CITY, IA 51106-1447
(712) 224-4040
(712) 224-4043
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1311
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741629
—
IA
Enumeration date
01/09/2007
Last updated
06/26/2023
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