Organization
T ZENON PHARMACEUTICALS LLC
Active
Other names
PHARMACY MATTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEIN RPH (PRESIDENT)
(319) 337-2492
Entity
Organization
Contact information
Practice address
1765 LININGER LN, NORTH LIBERTY, IA 52317-2316
(319) 626-6020
(319) 626-6022
Mailing address
PO BOX 170, NORTH LIBERTY, IA 52317-0170
(319) 337-2492
(319) 337-2493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
Primary
1272
IA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736850
—
IA
01
—
1622946
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2007
Last updated
04/12/2011
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