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Organization

CONSULTANT PHARMACISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA ETTLEMAN CPHT (OWNER)
(712) 374-2513
Entity
Organization

Contact information

Practice address
714 ILLINOIS STREET, SIDNEY, IA 51652
(712) 374-2513
(712) 374-3171
Mailing address
714 ILLINOIS STREET, PO BOX 360, SIDNEY, IA 51652
(712) 374-2513
(712) 374-3171

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
507
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073288
IA
Enumeration date
02/07/2007
Last updated
02/12/2018
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