Hartig Drug Co Corp
Organization Active NPI Community/Retail Pharmacy · Dubuque, IA
NPI 1780394262 · NPPES record last updated Nov 25, 2022
Key facts
- NPI
- 1780394262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- HARTIG DRUG CO CORP
- Practice address
- 4025 Westmark Dr Ste 110
Dubuque, IA 52002-2626 - Phone
- (563) 557-4925
- Fax
- (563) 557-6697
- NPI assigned
- Nov 25, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- HARTIG DRUG CO CORP
Authorized official
- Name
- Charles S Hartig, PHARMD, JD
- Title
- Ceo
- Phone
- (563) 588-8700
Other NPIs on the same Medicare enrollment 23
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331000394 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365434412 |
23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dubuque, IA |
National Provider Directory
- Part of
- Hartig Homecare Nursing
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4025 Westmark Dr Ste 110
Dubuque, IA 52002-2626
Mailing address
4025 Westmark Dr Ste 110
Dubuque, IA 52002-2626
Phone (563) 557-4925
Other names
- Hartig Drug Co 25
Other providers in Dubuque, IA
- Jean Eleanor Hartel
- Hartig Drug Co Corp
- Hartig Drug Co Corp
- Hartig Drug Co Corp
- Hartig Drug Co Corp
- Hartig Drug Co Corp
- Charles Hartig
- John Joseph Hartmann
- Alvin E Hartung
- Kelsey Lee Harvey
All providers in Dubuque, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.