MEDICARE: HARTIG DRUG CO CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548367105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTIG DRUG CO CORP

Provider Business Mailing Address
First Line	:	703 MAIN ST
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6821
Country	:	US
Telephone Number	:	563-588-8700
Fax Number	:	563-588-8750

Provider Business Practice Location Address
First Line	:	101 S MARQUETTE RD
Second Line	:
City	:	PRAIRIE DU CHIEN
State	:	WI
Zip	:	53821-1639
Country	:	US
Telephone Number	:	608-326-2581
Fax Number	:	608-326-1835

Authorized Official
Title or Position	:	CEO
Name	:	CHARLES S HARTIG
Credential	:	PHARMD, JD
Telephone Number	:	563-588-8700

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	08/05/2021

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Directions to “HARTIG DRUG CO CORP ” Practice Location

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