| Jack Robert Vallandingham, RPH | |
|
100 N Main St, Sigourney, IA 52591-1414 | |
| (641) 622-3184 | |
| (641) 622-1054 |
| Full Name | Jack Robert Vallandingham |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 100 N Main St, Sigourney, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013068493 | NPI | - | NPPES |
| 0181529 | Medicaid | IA | |
| 1607324 | Other | NABP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 13888 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Robert Vallandingham, RPH 100 N Main St, Sigourney, IA 52591-1414 Ph: (641) 622-3184 | Jack Robert Vallandingham, RPH 100 N Main St, Sigourney, IA 52591-1414 Ph: (641) 622-3184 |
Mrs. Mary Beth Adam, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Corner Drug Store, Sigourney, IA 52591 Phone: 641-622-3184 | |
Paul Edward O'rourke, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 118 S Main St, Suite B, Sigourney, IA 52591 Phone: 641-622-3184 Fax: 641-622-1054 | |
Mr. Jerry Holmes, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 514 N Shuffleton St, Sigourney, IA 52591 Phone: 515-334-4293 Fax: 800-332-9548 |