Provider Demographics
NPI:1437510575
Name:HARTIG DRUG CO CORP
Entity Type:Organization
Organization Name:HARTIG DRUG CO CORP
Other - Org Name:HARTIG DRUG CO #30
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, JD
Authorized Official - Phone:563-588-8700
Mailing Address - Street 1:200 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GUTTENBERG
Mailing Address - State:IA
Mailing Address - Zip Code:52052-9108
Mailing Address - Country:US
Mailing Address - Phone:563-329-1471
Mailing Address - Fax:563-329-1470
Practice Address - Street 1:200 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GUTTENBERG
Practice Address - State:IA
Practice Address - Zip Code:52052-9108
Practice Address - Country:US
Practice Address - Phone:563-946-7515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy