Taz Pharmacies Cr, Llc

NPI 1235456682 - Pharmacy - 3336C0003X

NPI Details
NPI 1235456682
Enumeration Date 04/26/2010
Last Updated 04/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SAM J SAM
Position MEMBER
Phone (319) 364-6930
Fax (319) 261-0114
Practice Location
2030 6TH ST SW
CEDAR RAPIDS IA, 52404-3564, US
Phone (319) 364-6930
Fax (319) 261-0114
Business Location
11 N 3RD AVE
BOX 696
MARSHALLTOWN IA, 50158-1815, US
Phone (641) 752-7139
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Iowa
License Number 746
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According to our database, Taz Pharmacies Cr, Llc NPI is 1235456682, taxonomy code is 3336C0003X and license number is 746, license state is located at Iowa. Taz Pharmacies Cr, Llc physically located at 2030 6th St Sw, Cedar Rapids IA, 52404-3564. NPI Number 1033115704 has the healthcare provider type.

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1235456682 NPI number is provided on an as is basis without warranty of any kind. 1235456682 is maintained by the National Plan & Provider Enumeration System. The contents of Taz Pharmacies Cr, Llc are for informational purposes only.