Healthcare Provider Details
I. General information
NPI: 1730288622
Provider Name (Legal Business Name): MAIER FAMILY PHARMACY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
409 MAIN ST STE A
MAPLETON IA
51034
US
IV. Provider business mailing address
PO BOX 67
MAPLETON IA
51034-0067
US
V. Phone/Fax
- Phone: 712-882-1034
- Fax: 712-882-1206
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 1174 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
MAIER
Title or Position: PRESIDENT
Credential: RPH
Phone: 712-881-1033