Provider Demographics
NPI:1780394262
Name:HARTIG DRUG CO CORP
Entity type:Organization
Organization Name:HARTIG DRUG CO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARTIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, JD
Authorized Official - Phone:563-588-8700
Mailing Address - Street 1:4025 WESTMARK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2626
Mailing Address - Country:US
Mailing Address - Phone:563-557-4925
Mailing Address - Fax:563-557-6697
Practice Address - Street 1:4025 WESTMARK DR STE 110
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2626
Practice Address - Country:US
Practice Address - Phone:563-557-4925
Practice Address - Fax:563-557-6697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARTIG DRUG CO CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy