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	1514	IA

General Provider Information

NPI Number	:	1982001335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTIG DRUG CO CORP

Provider Business Mailing Address
First Line	:	810 12TH ST
Second Line	:
City	:	BELLE PLAINE
State	:	IA
Zip	:	52208-1709
Country	:	US
Telephone Number	:	319-444-2480
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 12TH ST
Second Line	:
City	:	BELLE PLAINE
State	:	IA
Zip	:	52208-1709
Country	:	US
Telephone Number	:	319-444-2480
Fax Number	:

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

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	08/05/2021

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Directions to “HARTIG DRUG CO CORP ” Practice Location

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