Eby Drug Store (Logan), INC
Pharmacy, Community/Retail Pharmacy in Logan, IA. Organization (NPI-2).
NPI number1821189366
StatusActive
Last updated in NPPESMay 12, 2011
Details
- NPI
- 1821189366
- Entity type
- Organization (NPI-2)
- Legal business name
- Eby Drug Store (Logan), INC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- May 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 603 | IA | Yes |
Practice location
103 N 4th AveLogan, IA 51546
Phone 712-644-2160 · Fax 712-644-2103
Mailing address
103 N 4th AveP.O. Box 187
Logan, IA 51546
Phone 712-644-2160 · Fax 712-644-2103
Authorized official
Stephen P. Eby
President
7126442848
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