Provider Information for 1730288622
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MAIER FAMILY PHARMACY PC
Other Names:Doing Business As:WESTERN IOWA COMPOUNDING SOLUTIONSOrganization Subpart: NO
NPI: 1730288622
Last Updated: 2020-08-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1730288622 | ||||||||||||
| Enumeration Date | 2006-09-21 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| 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 | ||||||||||||
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