Provider Demographics
NPI:1700891397
Name:DOTZLER PHARMACIES INC
Entity type:Organization
Organization Name:DOTZLER PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-483-2884
Mailing Address - Street 1:1812 CHATBURN PLZ
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537-1980
Mailing Address - Country:US
Mailing Address - Phone:712-755-2101
Mailing Address - Fax:712-755-5576
Practice Address - Street 1:317 MAIN ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:IA
Practice Address - Zip Code:51553-2125
Practice Address - Country:US
Practice Address - Phone:712-483-2884
Practice Address - Fax:712-483-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IA7493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2026192OtherPK