Kristine M Staheli Jackson is not a DME supplier for medicare equipments and products.
Kristine M Staheli Jackson is a Non-pharmacy Dispensing Site in Dubuque, Iowa. It is located at Hillcrest Family Services Clinic, 220 W 7th St, Dubuque and it's customer support contact number is 563-583-6431. The authorized person of Kristine M Staheli Jackson is Gary Gansemer who is Ceo of the pharmacy and his contact number is 563-583-7357. Active license number of Kristine M Staheli Jackson is F066142 for Non-pharmacy Dispensing Site in Iowa. Kristine M Staheli Jackson is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Kristine M Staheli Jackson type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kristine M Staheli Jackson
Type:
Non-pharmacy Dispensing Site
Location:
Hillcrest Family Services Clinic, 220 W 7th St, Dubuque, Iowa, 52001
Phone:
563-583-6431
Fax:
563-557-4447
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Gary Gansemer
Position:
Ceo
Contact Number:
563-583-7357
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1205847845
NPI Enumeration Date:
10 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristine M Staheli Jackson are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
F066142
Iowa
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0140087
Medicaid
Iowa
1621653
Other
Other Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 116, Dubuque, Iowa
Zip:
52004-0116
Phone Number:
--
Fax Number:
--
Patients can reach Kristine M Staheli Jackson at Hillcrest Family Services Clinic, 220 W 7th St, Dubuque, Iowa or can call on customer care at 563-583-6431.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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