Provider Demographics
NPI:1780209312
Name:UEDING, CANDACE (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:
Last Name:UEDING
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 622
Mailing Address - Street 2:
Mailing Address - City:DOW CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51528-0622
Mailing Address - Country:US
Mailing Address - Phone:712-269-4351
Mailing Address - Fax:
Practice Address - Street 1:510 AVENUE C
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-2718
Practice Address - Country:US
Practice Address - Phone:712-263-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist