| NPI | 1003828096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY N. CROSBY Pharmacist/Owner 515-955-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: IA 485) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-03-07 |