Organization
SAC CITY DRUG CUSTOM COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI NIELAND R. PH. (OWNER)
(712) 662-7146
Entity
Organization
Contact information
Practice address
514 W MAIN ST, SAC CITY, IA 50583-1727
(712) 662-7146
(712) 662-3226
Mailing address
514 W MAIN ST, SAC CITY, IA 50583-1727
(712) 662-7146
(712) 662-3226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18471
IA
Other
Enumeration date
11/04/2005
Last updated
08/22/2020
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