MEDICARE: DR. CYNTHIA SUE UETZ PHARMD

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	183500000X	Pharmacist	21061	IA

General Provider Information

NPI Number	:	1811282338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA SUE UETZ PHARMD

Provider Business Mailing Address
First Line	:	1366 UNDERWOOD AVE
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-8868
Country	:	US
Telephone Number	:	641-330-0969
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 N MAIN ST
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-2017
Country	:	US
Telephone Number	:	641-330-0969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	01/03/2020

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