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Provider Information for 1730288622


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MAIER FAMILY PHARMACY PC

Other Names:  
Doing Business As: 
WESTERN IOWA COMPOUNDING SOLUTIONS

Organization Subpart: NO

NPI: 1730288622
Last Updated: 2020-08-22
Certification Date:

Details

NameValue
NPI1730288622
Enumeration Date2006-09-21
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: EDWARD MAIER RPH
Title: PRESIDENT
Phone: 7128811033
Mailing Address PO BOX 67
MAPLETON, IA 51034-0067
United States

Phone: | Fax:
 
Primary Practice Address 409 MAIN ST
STE A
MAPLETON, IA 51034
United States

Phone: 712-882-1034 | Fax:712-882-1206
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)1621502Other ID Number-Commercial Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy IA1174
No 3336C0003X - Pharmacy - Community/Retail Pharmacy