Provider Demographics
NPI:1861011603
Name:CASEY, MARGARET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 S ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-4497
Mailing Address - Country:US
Mailing Address - Phone:641-424-7014
Mailing Address - Fax:641-424-8012
Practice Address - Street 1:551 S ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4497
Practice Address - Country:US
Practice Address - Phone:641-424-7014
Practice Address - Fax:641-424-8012
Is Sole Proprietor?:No
Enumeration Date:2020-04-12
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist