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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
IA1304

Other Provider Identifiers:

IssuerNumberStateType
PK203041801
10025475600NE05
0736173IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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