Chalstrom, Carl Victor

Chalstrom, Carl Victor is an individual health care provider with primary practice located at 1791 Highway 64 E , Anamosa IA 52205-2112. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Chalstrom, Carl Victor can be contacted via phone (319) 462-3306.

Contact Information

Primary practice address
1791 Highway 64 E Anamosa IA 52205-2112
Phone: (319) 462-3306
Fax: (319) 462-6065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 16897 Iowa
Pharmacy Service Providers / Pharmacist 183500000X C16897 Iowa

Profile Details

NPI number 1295860260
LBN Legal business name Chalstrom, Carl Victor
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295860260 NPPES
Iowa Other C16897 STATE LICENSE NUMBER

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