Organization
SAC CITY DRUG, LLC.
Active
Other names
Sac City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MANN PHARMD (PHARMACIST)
(712) 662-7146
Entity
Organization
Contact information
Practice address
514 W MAIN ST, SAC CITY, IA 50583
(712) 662-7146
(712) 662-3226
Mailing address
514 W MAIN ST, SAC CITY, IA 50583
(712) 662-7146
(712) 662-3226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18471
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045849
—
IA
Enumeration date
11/10/2005
Last updated
02/10/2014
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