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Contact Information

JACK R VALLANDINGHAM, RPH
100 N MAIN ST
SIGOURNEY, IA52591-1414
 Phone: 641-622-3184
 Fax: 641-622-1054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JACK R VALLANDINGHAM · (Male)

NPI Number 1013068493
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 01/14/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 13888
  • IA Medicaid 0181529
  • Other 1607324 NABP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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