| 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 |