SERGEANT BLUFF PHARMACY INC
Medical Equipment Supplier Yellow Pages
Sergeant Bluff, Iowa
Provider NPI: 1275602518
Organization Information:Organization Name: SERGEANT BLUFF PHARMACY INC
Practice Location:
105 GAUL DR STE A SERGEANT BLUFF, IA 51054 US
Tel: 712-943-1494 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
105 GAUL DR STE A SERGEANT BLUFF, IA 51054 US
Tel: 712-943-1494 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | IA | 1304 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2030418 | 01 | |
10025475600 | NE | 05 | |
0736173 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin