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NPI Code Detail

MEDICARE: DR. SHANE THOMAS SEDENKA PHARM.D

MEDICARE:  DR. SHANE THOMAS SEDENKA  PHARM.D
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
1183500000XPharmacist19982IA

General Provider Information

NPI Number : 1487985321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANE THOMAS SEDENKA PHARM.D
Provider Business Mailing Address
First Line : 1082 MEADOWLARK DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-7609
Country : US
Telephone Number : 319-270-1040
Fax Number :
Provider Business Practice Location Address
First Line : 2949 SIERRA CT SW
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-8503
Country : US
Telephone Number : 319-688-6951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2010
Last Update Date : 06/24/2022

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Directions to “ DR. SHANE THOMAS SEDENKA PHARM.D” Practice Location

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