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Contact Information

DR MAMAE INC
214 5TH ST
KALONA, IA52247
 Phone: 319-656-3134
 Fax: 319-656-3165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DR MAMAE INC

NPI Number 1538262696
LBN Legal business name DR MAMAE INC
Authorized official DAVID MCDANEL - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 03/21/2022 - About 4 years ago
Identifiers
IA License # 273
IA Medicaid 0250837
Other 1608287 NCPDP PROVIDER IDENTIFICATION NUMBER
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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