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Contact Information

SAC CITY DRUG, LLC.
514 W MAIN ST
SAC CITY, IA50583
 Phone: 712-662-7146
 Fax: 712-662-3226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SAC CITY DRUG, LLC.

NPI Number 1982685525
LBN Legal business name SAC CITY DRUG, LLC.
Authorized official JENNA MANN - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2005
Last updated 02/10/2014 - About 12 years ago
Identifiers
IA License # 18471
IA Medicaid 0045849
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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