NPI | 1003352949 |
---|---|
Doing Business As | IMMC OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | ANGELA BOORD Pharmacy Operations Manager 515-241-5942 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IA 1591) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-03-16 |