Provider Demographics
NPI:1922576503
Name:MAIER FAMILY PHARMACY PC
Entity Type:Organization
Organization Name:MAIER FAMILY PHARMACY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:712-881-1033
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:IA
Mailing Address - Zip Code:51034-0067
Mailing Address - Country:US
Mailing Address - Phone:712-881-1033
Mailing Address - Fax:712-881-1206
Practice Address - Street 1:411 MAIN ST
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:IA
Practice Address - Zip Code:51034-1212
Practice Address - Country:US
Practice Address - Phone:712-881-1033
Practice Address - Fax:712-881-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy